Richard W. Ouellette
Individual provider Active NPI Pharmacist · Wells, ME
NPI 1699370429 · NPPES record last updated Dec 1, 2020
Key facts
- NPI
- 1699370429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR5577 (ME)
- Practice address
- 11 Steeple Way
Wells, ME 04090-5399 - Phone
- (207) 641-0860
- NPI assigned
- Dec 1, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR5577 | ME | Yes |
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
Other providers in Wells, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.