Individual provider Active NPI

Michael J Fiori, PHARM.D.

  • Pharmacist
  • Brunswick, ME
National Provider Identifier
1609279215
Registry record updated Sep 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR3569 Issued in ME
Practice address
5 Locust LN
Brunswick, ME 04011-3462
Phone
(207) 441-7285
Fax
(207) 377-2078
NPI assigned
Sep 27, 2014
Last updated
Sep 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PR3569 ME Primary
Geriatric Pharmacist 1835G0303X PR3569 ME
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X PR3569 ME
Pharmacotherapy Pharmacist 1835P1200X PR3569 ME

Addresses

Primary practice location

5 Locust LN
Brunswick, ME 04011-3462

Mailing address

5 Locust LN
Brunswick, ME 04011-3462
Phone (207) 441-7285

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

LicenseStateTypeSpecialty
PR3569MEMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411776000000",
    "number": "1609279215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LOCUST LN",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113462",
            "telephone_number": "207-441-7285",
            "fax_number": "207-377-2078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 LOCUST LN",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113462",
            "telephone_number": "207-441-7285",
            "fax_number": "207-377-2078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORI",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-09-27",
        "last_updated": "2014-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR3569",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "ME",
            "license": "PR3569",
            "primary": false
        },
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "ME",
            "license": "PR3569",
            "primary": false
        },
        {
            "code": "1835P1200X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacotherapy",
            "state": "ME",
            "license": "PR3569",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.