Kristin Chupka, RPH, PHARM D, BCACP

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR5199 Issued in ME

Practice address

12 High St
CMMC Pharmacy
Lewiston, ME 04240-7676

Phone

(207) 795-7177

Fax

(207) 795-7552

NPI assigned

Apr 30, 2008

Sex

Female

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

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1659547594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "address_2": "CMMC PHARMACY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-795-7177",
            "fax_number": "207-795-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 HIGH ST",
            "address_2": "CMMC PHARMACY",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407676",
            "telephone_number": "207-795-7177",
            "fax_number": "207-795-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHUPKA",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "RPH, PHARM D, BCACP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-30",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR5199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• City of Lewiston School Department
• Justin Clark, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2017; 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.