Active NPI
Richard W. Ouellette
- Pharmacist
- Wells, ME
National Provider Identifier
1699370429
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5577
- Practice address
- 11 Steeple Way
Wells, ME 04090-5399 - Phone
- (207) 641-0860
- NPI assigned
- Dec 1, 2020
- Last updated
- Dec 1, 2020
- Sex
- Male
- 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 | PR5577 | ME | Primary |
Addresses
Primary practice location
11 Steeple Way
Wells, ME 04090-5399
Mailing address
11 Steeples Way
PO Box 130
Wells, ME 04090
Phone (207) 641-0860
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 |
|---|---|---|---|
| PR5577 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CVS State Capital LLC | Past | Accepting new patients | |
| CVS State Capital, L.L.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606780800000",
"number": "1699370429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 STEEPLES WAY",
"address_2": "PO BOX 130",
"city": "WELLS",
"state": "ME",
"postal_code": "04090",
"telephone_number": "207-641-0860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 STEEPLE WAY",
"city": "WELLS",
"state": "ME",
"postal_code": "040905399",
"telephone_number": "207-641-0860"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OUELLETTE",
"first_name": "RICHARD",
"middle_name": "W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-01",
"last_updated": "2020-12-01",
"certification_date": "2020-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wells, ME
- Northbridge Avita Wells II LLC (Avita of Wells)
- Northpoint Anesthesia Partners
- Margaret Alice Obrien, LCPC
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
- Anna Olsen
- Jane Pelletier, PA-C
- Hannah Pattison Pohli, M.A., CCC-SLP
- Amato Polselli Jr., M.D.
- Karolina Pray, ND
- Prime Care Medical Supplies Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.