Amanda Dubois, PHARMACIST

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR72115 Issued in ME

Practice address

500 Stillwater Ave
Old Town, ME 04468-5160

Phone

(207) 827-3950

NPI assigned

Jul 23, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hannaford Bros Co LLC

  • Community/Retail Pharmacy
  • Old Town, ME
  • NPI 1376651760
  NPD (past)
• Hannaford Bros. Co., LLC

  • Community/Retail Pharmacy
  • Scarborough, ME
  • NPI 1861175622
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1891523767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STILLWATER AVE",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044685160",
            "telephone_number": "207-827-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 STILLWATER AVE",
            "city": "OLD TOWN",
            "state": "ME",
            "postal_code": "044685160",
            "telephone_number": "207-827-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBOIS",
        "first_name": "AMANDA",
        "credential": "PHARMACIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR72115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle Deliberty, DPT, ATC
• Jerome Alan Dennis
• Ashleigh Gail Deschenes
• Crystal A Dockery, DO
• Jolene R Driver, PAC
• Jessica Dubois, COTA/L
• Kaitlyn Dunham, PHARMD
• Alexandria Durland, PHARMD, BSHS
• Patricia A Elliott, MD
• Elm Enterprises

• Pharmacist in Old Town, ME
• Providers in Old Town, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.