Florence Frances Jello
Individual provider Active NPI Pharmacist · Bridgton, ME
NPI 1831864644 · NPPES record last updated Dec 26, 2022
Key facts
- NPI
- 1831864644
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR4027 (ME)
- Practice address
- 19 Portland Rd
Bridgton, ME 04009-1229 - Phone
- (207) 647-5795
- Fax
- (207) 647-2086
- NPI assigned
- Aug 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PR4027 | ME | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR4027 | ME | Yes |
Addresses
Primary practice location
19 Portland Rd
Bridgton, ME 04009-1229
Mailing address
PO Box 443
West Ossipee, NH 03890-0443
Phone (603) 452-4442
Other practice location 1
119 Bridgton Rd
Fryeburg, ME 04037-1407
Phone (207) 935-2045
Other providers in Bridgton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2022. 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.