Derek Joseph
Individual provider Active NPI Pharmacist · Lincoln, ME
NPI 1982995601 · NPPES record last updated Apr 28, 2011
Key facts
- NPI
- 1982995601
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR5765 (ME)
- Practice address
- 2 W Broadway
Lincoln, ME 04457-1247 - Phone
- (207) 794-3344
- NPI assigned
- Apr 28, 2011
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR5765 | ME | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PR5765 | ME | Yes |
Addresses
Primary practice location
2 W Broadway
Lincoln, ME 04457-1247
Mailing address
2 W Broadway
Lincoln, ME 04457-1247
Phone (207) 794-3344
Other providers in Lincoln, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 28, 2011. 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.