Active NPI
Elizabeth Nieuwkerk, PHARMD, RPH
- Pharmacist
- Topsham, ME
National Provider Identifier
1861909178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR47070
- Practice address
- 77 Mallett Dr
Topsham, ME 04086-1300 - Phone
- (207) 729-0806
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | PR47070 | ME | Primary |
Addresses
Primary practice location
77 Mallett Dr
Topsham, ME 04086-1300
Mailing address
3 Paddy Creek Hill Rd
Kennebunkport, ME 04046-6717
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, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR47070 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1861909178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 PADDY CREEK HILL RD",
"city": "KENNEBUNKPORT",
"state": "ME",
"postal_code": "040466717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 MALLETT DR",
"city": "TOPSHAM",
"state": "ME",
"postal_code": "040861300",
"telephone_number": "207-729-0806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIEUWKERK",
"first_name": "ELIZABETH",
"credential": "PHARMD, RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "ME",
"license": "PR47070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Topsham, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.