Active NPI
Kelly Caruso
- Pharmacist
- Westbrook, ME
National Provider Identifier
1467828376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR45380
- Practice address
- 465 Main St
Westbrook, ME 04092-4328 - Phone
- (570) 421-1773
- NPI assigned
- Aug 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR45380 | ME | Primary |
Addresses
Primary practice location
465 Main St
Westbrook, ME 04092-4328
Mailing address
286 Front St Apt 1
South Portland, ME 04106-1558
Phone (207) 240-5015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR45380 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439510400000",
"number": "1467828376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 FRONT ST APT 1",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041061558",
"telephone_number": "207-240-5015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 MAIN ST",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040924328",
"telephone_number": "570-421-1773"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARUSO",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2015-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR45380",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.