Active NPI
Jennifer Anne Soucy, PHARMD
- Pharmacist
- Portland, ME
National Provider Identifier
1710071386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5315
- Practice address
- 331 Veranda St
Portland, ME 04103 - Phone
- (207) 791-3756
- NPI assigned
- Oct 3, 2006
- 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 | PR5315 | ME | Primary |
Addresses
Primary practice location
331 Veranda St
Portland, ME 04103
Mailing address
41 Glaude Ave
Hollis Center, ME 04042
Phone (207) 247-2864
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 |
|---|---|---|---|
| PR5315 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206057600000",
"number": "1710071386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 GLAUDE AVE",
"city": "HOLLIS CENTER",
"state": "ME",
"postal_code": "04042",
"telephone_number": "207-247-2864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "331 VERANDA ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "04103",
"telephone_number": "207-791-3756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUCY",
"first_name": "JENNIFER",
"middle_name": "ANNE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2008-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.