Active NPI
Kimberly Welton, RPH
- Pharmacist
- Millinocket, ME
National Provider Identifier
1639256837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4292
- Practice address
- 843 Central St
(Hannaford Pharmacy)
Millinocket, ME 04462-2125 - Phone
- (207) 723-8148
- Fax
- (207) 723-9548
- NPI assigned
- Nov 1, 2006
- 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 | 4292 | ME | Primary |
Addresses
Primary practice location
843 Central St
(Hannaford Pharmacy)
Millinocket, ME 04462-2125
Mailing address
HC 65 Box 5456
(5 Energy Lane Woodville)
Lincoln, ME 04457-9423
Phone (207) 746-5921
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 |
|---|---|---|---|
| 4292 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hannaford Bros. Co., LLC | Past | Accepting new patients | |
| Hannaford Bros Co LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Retail Pharmacy
- Millinocket, ME
- NPI 1386752764
-
- Community/Retail Pharmacy
- Scarborough, ME
- NPI 1861175622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639256837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 65 BOX 5456",
"address_2": "(5 ENERGY LANE WOODVILLE)",
"city": "LINCOLN",
"state": "ME",
"postal_code": "044579423",
"telephone_number": "207-746-5921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "843 CENTRAL ST",
"address_2": "(HANNAFORD PHARMACY)",
"city": "MILLINOCKET",
"state": "ME",
"postal_code": "044622125",
"telephone_number": "207-723-8148",
"fax_number": "207-723-9548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELTON",
"first_name": "KIMBERLY",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "4292",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millinocket, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.