Kenneth Wayne Corbin, R.P.H.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR4519 Issued in ME

Practice address

97 Oak St
Bangor, ME 04401-6516

Phone

(207) 945-0351

Fax

(207) 945-0408

NPI assigned

Aug 27, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co.

  • Pharmacy
  • Bangor, ME
  • NPI 1114255049
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

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

{
    "created_epoch": "1314403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314403200000",
    "number": "1619257151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROCK RIDGE DR",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049010801",
            "telephone_number": "207-873-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 OAK ST",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044016516",
            "telephone_number": "207-945-0351",
            "fax_number": "207-945-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "credential": "R.P.H.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-27",
        "last_updated": "2011-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR4519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Cook, D.O.
• Shannon Cook, PMH-NP
• Jillian E Cookson, MA CCC- SLP
• Kimberly Joy Cooper, PSY.D.
• Courtney Rochelle Corbeil, DO
• Andrew Cordes
• Eric M Cormier, MSPT
• Cornerstone Behavioral Healthcare, LLC
• Linda Coro, SLPA
• Stephanie Corriveau, DO

• Pharmacist in Bangor, ME
• Providers in Bangor, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.