Active NPI
Tara Lee McCarthy, PHARMD
- Pharmacist
- Bangor, ME
National Provider Identifier
1639894546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR71146
- Practice address
- 6 Telcom Dr
Bangor, ME 04401-3072 - Phone
- (207) 404-8080
- NPI assigned
- Oct 4, 2022
- 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 | PR71146 | ME | Primary |
Addresses
Primary practice location
6 Telcom Dr
Bangor, ME 04401-3072
Mailing address
47 N Main St Apt 2
Brewer, ME 04412-2156
Phone (781) 375-6829
Other practice location 1
735 Wilson St
Brewer, ME 04412-1000
Phone (207) 989-1567
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR71146 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664841600000",
"number": "1639894546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 N MAIN ST APT 2",
"city": "BREWER",
"state": "ME",
"postal_code": "044122156",
"telephone_number": "781-375-6829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 TELCOM DR",
"city": "BANGOR",
"state": "ME",
"postal_code": "044013072",
"telephone_number": "207-404-8080"
}
],
"practiceLocations": [
{
"address_1": "735 Wilson St",
"address_purpose": "LOCATION",
"city": "Brewer",
"state": "ME",
"postal_code": "044121000",
"country_code": "US",
"telephone_number": "207-989-1567",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCARTHY",
"first_name": "TARA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-04",
"last_updated": "2022-10-04",
"certification_date": "2022-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR71146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.