Chester a Hibbard

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50000798 Issued in ME

Legal business name

CHESTER A HIBBARD

Doing business as

E W Moore and Son Pharmacy

Practice address

337 Main St
Bingham, ME 04920-0614

Phone

(207) 672-3312

Fax

(207) 672-4158

NPI assigned

Jan 18, 2007

Last updated

Oct 21, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chester Hibbard, PHRM

Title

Owner

Phone

(207) 672-3312

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• E W MOORE AND SON PHARMACY Doing business as

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319155200000",
    "number": "1609928605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 MAIN ST",
            "address_2": "PO BOX 614",
            "city": "BINGHAM",
            "state": "ME",
            "postal_code": "049200614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 MAIN ST",
            "city": "BINGHAM",
            "state": "ME",
            "postal_code": "049200614",
            "telephone_number": "207-672-3312",
            "fax_number": "207-672-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESTER A HIBBARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-10-21",
        "status": "A",
        "authorized_official_last_name": "HIBBARD",
        "authorized_official_first_name": "CHESTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-672-3312",
        "authorized_official_credential": "PHRM"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50000798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2001270",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12788000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E W MOORE AND SON PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Agren, LCSW
• Abigail Cross, DO
• Tamar D. Diamond, D.M.D.
• Paula Gould, RDH
• Healthreach Community Health Centers (Bingham Area Health Center)
• Alexandra Martocci, PA

• Community/Retail Pharmacy in Bingham, ME
• Providers in Bingham, ME by specialty
• Community/Retail Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2011; 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.