Active NPI
Sean Elliott Nutter, PHARM D.
- Pharmacist
- Augusta, ME
National Provider Identifier
1558872036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR46882
- Practice address
- 250 Arsenal St
Augusta, ME 04330-5742 - Phone
- (207) 624-4600
- NPI assigned
- Oct 24, 2017
- Last updated
- Aug 12, 2024
- Sex
- Male
- 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 | PR46882 | ME | Primary |
Addresses
Primary practice location
250 Arsenal St
Augusta, ME 04330-5742
Mailing address
548 N Pond Rd
Winslow, ME 04901-0115
Phone (802) 477-2954
Other practice location 1
656 State St
Bangor, ME 04401-5609
Phone (207) 941-4000
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR46882 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Maine | Past | Accepting new patients | |
| Shaws Supermarkets Inc | Past | Accepting new patients | |
| Shaws Supermarkets Inc | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Shaws Pharmacy #2552
- Community/Retail Pharmacy
- Augusta, ME
- NPI 1649227182
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1558872036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "548 N POND RD",
"city": "WINSLOW",
"state": "ME",
"postal_code": "049010115",
"telephone_number": "802-477-2954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 ARSENAL ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043305742",
"telephone_number": "207-624-4600"
}
],
"practiceLocations": [
{
"address_1": "656 State St",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044015609",
"country_code": "US",
"telephone_number": "207-941-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NUTTER",
"first_name": "SEAN",
"middle_name": "ELLIOTT",
"credential": "PHARM D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-24",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR46882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.