Active NPI
Michael Robert Halle, PHARMD
- Pharmacist
- Bangor, ME
National Provider Identifier
1790061802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR5814
- Practice address
- 353 Main St
Bangor, ME 04401-6211 - Phone
- (207) 945-6550
- NPI assigned
- Nov 2, 2011
- Last updated
- Nov 2, 2011
- 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 | PR5814 | ME | Primary |
Addresses
Primary practice location
353 Main St
Bangor, ME 04401-6211
Mailing address
64 Cook Rd
Carmel, ME 04419-3715
Phone (401) 263-3942
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 |
|---|---|---|---|
| PR5814 | ME | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shaws Supermarkets Inc | Past | Accepting new patients | |
| Shaws Supermarkets Inc | 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": "1320192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320192000000",
"number": "1790061802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 COOK RD",
"city": "CARMEL",
"state": "ME",
"postal_code": "044193715",
"telephone_number": "401-263-3942"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 MAIN ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016211",
"telephone_number": "207-945-6550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLE",
"first_name": "MICHAEL",
"middle_name": "ROBERT",
"name_prefix": "Mr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-11-02",
"last_updated": "2011-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR5814",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.