Stephanie Lina Randall, RPH
Individual provider Active NPI Pharmacist · Buxton, ME
NPI 1851491773 · NPPES record last updated Aug 21, 2013
Key facts
- NPI
- 1851491773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR0004624 (ME)
- Practice address
- 226 Parker Farm Rd
Buxton, ME 04093-3150 - Phone
- (207) 727-5139
- Fax
- (207) 727-5509
- NPI assigned
- Sep 22, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS32623 | FL | MD | Pharmacist |
| PR0004624 | ME | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS32623 | FL | |
| Pharmacist | 183500000X | PR0004624 | ME | Yes |
Addresses
Primary practice location
226 Parker Farm Rd
Buxton, ME 04093-3150
Mailing address
36 Fengler Rd
Scarborough, ME 04074-8490
Phone (207) 883-2321
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 109127100 | Medicaid | FL | |
| 109127101 | Other | FL | MEDICAID DME |
Other names
- Ms. Stephanie Lina Hebert
Other providers in Buxton, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2013. 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.