Active NPI
Michael Dougan
- Pharmacist
- Bath, ME
National Provider Identifier
1720417033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR12979
- Practice address
- 11 State Rd
Bath, ME 04530-6014 - Phone
- (207) 443-1786
- Fax
- (207) 442-6706
- NPI assigned
- Nov 6, 2013
- Last updated
- Nov 6, 2013
- 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 | PR12979 | ME | Primary |
Addresses
Primary practice location
11 State Rd
Bath, ME 04530-6014
Mailing address
11 State Rd
Bath, ME 04530-6014
Phone (207) 443-1786
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 |
|---|---|---|---|
| PR12979 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Eastern Co Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1720417033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 STATE RD",
"city": "BATH",
"state": "ME",
"postal_code": "045306014",
"telephone_number": "207-443-1786",
"fax_number": "207-442-6706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 STATE RD",
"city": "BATH",
"state": "ME",
"postal_code": "045306014",
"telephone_number": "207-443-1786",
"fax_number": "207-442-6706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUGAN",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR12979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bath, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.