Active NPI
Peter Ottaviano, RPH
- Pharmacist
- Augusta, ME
National Provider Identifier
1619235066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4675
- Practice address
- 83 Hospital St
Augusta, ME 04330-6617 - Phone
- (207) 623-1414
- NPI assigned
- Apr 23, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR4675 | ME | Primary |
| Pharmacist | 183500000X | 3057 | NH |
Addresses
Primary practice location
83 Hospital St
Augusta, ME 04330-6617
Mailing address
83 Hospital St
Augusta, ME 04330-6617
Phone (207) 623-1414
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 |
|---|---|---|---|
| PR4675 | ME | MD | Pharmacist |
| 3057 | NH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335139200000",
"number": "1619235066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 HOSPITAL ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306617",
"telephone_number": "207-623-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 HOSPITAL ST",
"city": "AUGUSTA",
"state": "ME",
"postal_code": "043306617",
"telephone_number": "207-623-1414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTTAVIANO",
"first_name": "PETER",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-23",
"last_updated": "2012-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4675",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "3057",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Augusta, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.