Active NPI
Michael Scott Waldron, RPH
- Pharmacist
- Waterville, ME
National Provider Identifier
1881994309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PR4577
- Practice address
- 210 Main St
Waterville, ME 04901-6116 - Phone
- (207) 877-9004
- NPI assigned
- Nov 1, 2010
- Sex
- Male
- 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 | PR4577 | ME | Primary |
Addresses
Primary practice location
210 Main St
Waterville, ME 04901-6116
Mailing address
2002 West St # 21
Carrabassett Valley, ME 04947-5535
Phone (207) 347-9457
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 |
|---|---|---|---|
| PR4577 | ME | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288569600000",
"number": "1881994309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 WEST ST # 21",
"city": "CARRABASSETT VALLEY",
"state": "ME",
"postal_code": "049475535",
"telephone_number": "207-347-9457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 MAIN ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049016116",
"telephone_number": "207-877-9004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALDRON",
"first_name": "MICHAEL",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-01",
"last_updated": "2010-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "ME",
"license": "PR4577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterville, ME
- Julia E Vicaire, LCSW
- Veronika Vogt, N.P.
- Elizabeth A Voigt-McCue, LCSW
- Wal-Mart Stores East LP (Walmart Pharmacy 10-2013)
- Wal-Mart Stores East, LP (Vision Center 30-2013)
- Rosalind R Waldron, MD
- Walgreen Eastern Co Inc (Walgreens #17156)
- Abby Friend Walker, D.C.
- Matthew P Walker, LD
- Elizabeth Ward, LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.