Jacqueline Ann Schomaker, RPH
Individual provider Active NPI Pharmacist · Greene, ME
NPI 1619209830 · NPPES record last updated Sep 19, 2012
Key facts
- NPI
- 1619209830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR4456 (ME)
- Practice address
- 19B Patten Road
Greene, ME 04236 - Phone
- (207) 946-2425
- Fax
- (207) 946-2425
- NPI assigned
- Feb 12, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21906 | MA | MD | Pharmacist |
| PR4456 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greene Village Pharmacy Inc | Current | Accepting new patients |
Locations
19B Patten Rd
Greene, ME 04236
Phone (207) 946-2425
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR4456 | ME | Yes |
| Pharmacist | 183500000X | 21906 | MA |
Addresses
Primary practice location
19B Patten Road
Greene, ME 04236
Mailing address
19B Patten Rd
Greene, ME 04236-3964
Phone (207) 946-2425
Other providers in Greene, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.