Active NPI
Katelyn Cole
- Pharmacist
- Bethel, ME
National Provider Identifier
1629550322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR68747
- Practice address
- 28 Mayville Rd
Bethel, ME 04217 - Phone
- (207) 824-8085
- NPI assigned
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR68747 | ME | Primary |
Addresses
Primary practice location
28 Mayville Rd
Bethel, ME 04217
Mailing address
PO Box 190
Bethel, ME 04217-0190
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PR68747 | Other | ME | MAINE PHARMACIST LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR68747 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1671408000000",
"number": "1629550322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 190",
"city": "BETHEL",
"state": "ME",
"postal_code": "042170190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 MAYVILLE RD",
"city": "BETHEL",
"state": "ME",
"postal_code": "04217",
"telephone_number": "207-824-8085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLE",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2022-12-19",
"certification_date": "2022-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR68747",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAINE PHARMACIST LICENSE",
"identifier": "PR68747",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bethel, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.