Active NPI
Michael D Warmuth, RPH.
- Pharmacist
- Old Town, ME
National Provider Identifier
1609014182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4131
- Practice address
- 242 Brunswick St
Old Town, ME 04468 - Phone
- (207) 827-6128
- Fax
- (207) 827-5533
- NPI assigned
- Jan 22, 2009
- Last updated
- Aug 3, 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 | PR4131 | ME | Primary |
Addresses
Primary practice location
242 Brunswick St
Old Town, ME 04468
Mailing address
PO Box 1599
Bangor, ME 04402-1599
Phone (207) 945-5247
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR4131 | Other | ME | MAINE LICENSE |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR4131 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1609014182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1599",
"city": "BANGOR",
"state": "ME",
"postal_code": "044021599",
"telephone_number": "207-945-5247",
"fax_number": "207-947-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 BRUNSWICK ST",
"city": "OLD TOWN",
"state": "ME",
"postal_code": "04468",
"telephone_number": "207-827-6128",
"fax_number": "207-827-5533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARMUTH",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-22",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4131",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE LICENSE",
"identifier": "PR4131",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Old Town, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.