GERARD P. BOUCHARD (NPI# 1487773412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487773412 |
| Entity Type | Individual |
| Full Name | GERARD P. BOUCHARD |
| Credential | RPH |
| Practice Address |
121 Medical Center Dr Suite G-500 Brunswick ME 04011-2653 |
| Mailing Address |
121 Medical Center Drive Suite G-500 Brunswick ME 04011 |
| Practice Telephone | 2077293642 |
| Practice Fax Number | 2077292704 |
| Mailing Telephone | 2077293642 |
| Mailing Fax Number | 2077292704 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR2767 | ME | Pharmacy Service Providers |
| Street Address |
121 MEDICAL CENTER DR SUITE G-500 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568465599 | Nathaniel Hyde | Surgery | 121 Medical Center Dr, Ste 2550, Brunswick, ME 04011-2681 | 2005-05-23 |
| 1326410333 | Ruth E Macy | Physical Therapist | 121 Medical Center Dr, Brunswick, ME 04011-2653 | 2015-10-29 |
| 1447650676 | Maud Van De Wiele | Advanced Practice Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2014-08-25 |
| 1427320928 | Aoife Elizabeth O'brien | Advanced Practice Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2012-01-31 |
| 1083921282 | Alexis Leigh Nolan | Midwife | 121 Medical Center Dr, Ste 2700, Brunswick, ME 04011-2669 | 2010-09-09 |
| 1053544718 | Annemarie B. Curnin | Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2009-08-28 |
| 1972768166 | Diana Vradii | Internal Medicine | 121 Medical Center Dr, Suite 3500, Brunswick, ME 04011-2653 | 2008-07-28 |
| 1912167347 | Laura B Smith-tucker | Nurse Practitioner | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2008-06-10 |
| 1396928412 | Suzanne W Zimmerman | Registered Nurse | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2007-12-12 |
| 1477762383 | Mid Coast Cardiology | Internal Medicine | 121 Medical Center Dr, Suite 3100, Brunswick, ME 04011-2653 | 2007-05-21 |
| 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 | ||||
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| 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.