Active NPI
Eric Scott Grenier
- Pharmacist
- South Portland, ME
National Provider Identifier
1659973972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5967
- Practice address
- 50 Cottage Rd
South Portland, ME 04106-3606 - Phone
- (207) 799-4023
- Fax
- (207) 799-4642
- NPI assigned
- Nov 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | PR5967 | ME | Primary |
Addresses
Primary practice location
50 Cottage Rd
South Portland, ME 04106-3606
Mailing address
50 Cottage Rd
South Portland, ME 04106-3606
Phone (207) 799-4023
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Egrenier@hannaford.com | Direct |
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 |
|---|---|---|---|
| PR5967 | 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
- South Portland, ME
- NPI 1922116276
-
- 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": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1659973972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 COTTAGE RD",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063606",
"telephone_number": "207-799-4023",
"fax_number": "207-799-4642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 COTTAGE RD",
"city": "SOUTH PORTLAND",
"state": "ME",
"postal_code": "041063606",
"telephone_number": "207-799-4023",
"fax_number": "207-799-4642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRENIER",
"first_name": "ERIC",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-11",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5967",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Egrenier@hannaford.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "50 Cottage Rd",
"city": "South Portland",
"state": "ME",
"country_code": "US",
"postal_code": "041063606",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in South Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.