Active NPI
Michael Anthony Shayne, RPH.
- Pharmacist
- Newport, ME
National Provider Identifier
1770916272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR12928
- Practice address
- 36 Moosehead TRL
Newport, ME 04953-4108 - Phone
- (207) 368-5754
- NPI assigned
- Aug 20, 2013
- Last updated
- Aug 20, 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 | PR12928 | ME | Primary |
Addresses
Primary practice location
36 Moosehead TRL
Newport, ME 04953-4108
Mailing address
36 Moosehead TRL
Newport, ME 04953-4108
Phone (207) 368-5754
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR12928 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376956800000",
"number": "1770916272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 MOOSEHEAD TRL",
"city": "NEWPORT",
"state": "ME",
"postal_code": "049534108",
"telephone_number": "207-368-5754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 MOOSEHEAD TRL",
"city": "NEWPORT",
"state": "ME",
"postal_code": "049534108",
"telephone_number": "207-368-5754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAYNE",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"credential": "RPH.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-20",
"last_updated": "2013-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR12928",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport, ME
- Sebasticook Family Doctors (Hometown Health Center)
- Sebasticook Family Doctors
- Sebasticook Family Doctors
- Sebasticook Valley Health
- Sensaitonal Minds: Early Learning Academy LLC
- Karl F. Sitterly, M.D.
- Kelley Sue Smith, COTA/L, ATP
- Laura G Stevens, LCSW
- Kim Marie Stewart, M.D.
- Jennifer Stihilaire, PTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.