Amanda Bombard

Primary specialty

PharmacistTaxonomy code 183500000X

License

PR45413 Issued in ME

Practice address

305 Commercial St Apt 305
Portland, ME 04101-4642

Phone

(207) 831-4900

NPI assigned

Aug 24, 2015

Last updated

Aug 24, 2015By the provider in NPPES

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

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1922475243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 COMMERCIAL ST APT 305",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014642",
            "telephone_number": "207-831-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 COMMERCIAL ST APT 305",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014642",
            "telephone_number": "207-831-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMBARD",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR45413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leonie Boller, DO
• Cynthia J Bolles, PA-C
• Thomas M Bolles, M.D.
• Margaret Renee Bolognia, PMHNP
• Jennifer E Bolton, MD
• Juliana Joan Bonardi, DO
• Isabella Bonder
• Molly Bondurant
• Kristin Rose Bonenfant, DPT
• Shulamith C Bonham, MD

• Pharmacist in Portland, ME
• Providers in Portland, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.