DR. ALEJANDRO A. ENRIQUEZ ZAMALLOA (NPI# 1295076800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295076800 |
| Entity Type | Individual |
| Full Name | DR. ALEJANDRO A. ENRIQUEZ ZAMALLOA |
| Credential | PHARMD, MS |
| Practice Address |
14 Maine St Suite 208 Brunswick ME 04011-2049 |
| Mailing Address |
601 Allen Ave Portland ME 04103-6101 |
| Practice Telephone | 2079071612 |
| Mailing Telephone | 2079079722 |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2015-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | PH233995 | MA | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PR12573 | ME | Pharmacy Service Providers |
| Street Address |
14 MAINE ST SUITE 208 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916410 | Nancy Egan | Dermatology | 14 Maine St, Suite 201, Brunswick, ME 04011-2026 | 2005-07-18 |
| 1053967778 | Fiona Rachel Neale | Nurse Practitioner | 14 Maine St, Brunswick, ME 04011-2049 | 2019-08-19 |
| 1790219921 | Michelle Kanga | Psychologist | 14 Maine St, Suite 309, Brunswick, ME 04011-2049 | 2017-04-14 |
| 1063860229 | Julie L. Quimby, Phd | Clinic/Center | 14 Maine St, Suite 216b, Brunswick, ME 04011-2049 | 2016-05-28 |
| 1144692880 | Maine Geropsychology, LLC | Clinic/Center | 14 Maine St, Suite 111-c, Brunswick, ME 04011-2049 | 2015-10-21 |
| 1245622919 | Sarah Kopke | Physician Assistant | 14 Maine St, Brunswick, ME 04011-2049 | 2015-03-04 |
| 1891133500 | Providence Service Corporation of Maine | Community/Behavioral Health | 14 Maine St, Suite 202, Box 50, Brunswick, ME 04011-2049 | 2013-06-05 |
| 1952647901 | Midcoast Integrative Healthcare | Neuromusculoskeletal Medicine & OMM | 14 Maine St, Suite 205, Box 14, Brunswick, ME 04011-2049 | 2012-12-19 |
| 1013252162 | Nancy Ives | Social Worker | 14 Maine St, Suite 301, Brunswick, ME 04011-2049 | 2012-11-30 |
| 1467706580 | Jennifer Rebecca Freundlich | Counselor | 14 Maine St, Suite 212, Fort Andross Mill, Brunswick, ME 04011-2049 | 2012-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376919886 | Wilber Mitchell Pleasants | Pharmacist | 5169 Brunswick Road, Box 305, Brunswick, TN 38014-0305 | 2015-08-19 |
| 1770972127 | Sapan Haribhakti | Pharmacist | 736 Jeanette Street, Brunswick, OH 44212 | 2015-01-22 |
| 1609279215 | Michael J Fiori | Pharmacist | 5 Locust Ln, Brunswick, ME 04011-3462 | 2014-09-27 |
| 1588916704 | Ashok Kohli | Pharmacist | 200 Glynn Isle Parkway, Mike Kohli, Brunswick, GA 31525-2929 | 2012-10-11 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1417215856 | Jimmy Mack Boatright | Pharmacist | 1600 Perry Lane Rd, Brunswick, GA 31525-9739 | 2012-04-23 |
| 1700163821 | Wendy Dawson | Pharmacist | 219 Edge Water Dr, Brunswick, GA 31525-6873 | 2011-11-03 |
| 1730488602 | Donald A Dietrich | Pharmacist | 3871 Center Rd, Brunswick, OH 44212-3058 | 2011-03-17 |
| 1114226230 | Donald Alan Cody | Pharmacist | 3487 Cypress Mill Rd, Brunswick, GA 31520-2857 | 2011-03-16 |
| 1700187895 | Chetan Patel | Pharmacist | 12 Woodfall Ct, Brunswick, GA 31525 | 2010-11-05 |
| Find all providers in BRUNSWICK | ||||
Please comment or provide details below to improve the information on DR. ALEJANDRO A. ENRIQUEZ ZAMALLOA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.