Active NPI
Nicholas Joachim Coetzee, B.PHARM
- Pharmacist
- Machias, ME
National Provider Identifier
1578876405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5424
- Practice address
- 144 Dublin St
Machias, ME 04654-3409 - Phone
- (207) 255-3458
- Fax
- (207) 255-6064
- NPI assigned
- Jul 20, 2010
- 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 | PR5424 | ME | Primary |
Addresses
Primary practice location
144 Dublin St
Machias, ME 04654-3409
Mailing address
144 Dublin St
Machias, ME 04654-3409
Phone (207) 255-3458
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 |
|---|---|---|---|
| PR5424 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279584000000",
"number": "1578876405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 DUBLIN ST",
"city": "MACHIAS",
"state": "ME",
"postal_code": "046543409",
"telephone_number": "207-255-3458",
"fax_number": "207-255-6064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 DUBLIN ST",
"city": "MACHIAS",
"state": "ME",
"postal_code": "046543409",
"telephone_number": "207-255-3458",
"fax_number": "207-255-6064"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COETZEE",
"first_name": "NICHOLAS",
"middle_name": "JOACHIM",
"name_prefix": "Mr.",
"credential": "B.PHARM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-20",
"last_updated": "2010-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Machias, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.