CASEY MARIE NORTHUP (NPI# 1609356559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609356559 |
| Entity Type | Individual |
| Full Name | CASEY MARIE NORTHUP |
| Practice Address |
360 Broadway Bangor ME 04401-3900 |
| Mailing Address |
22 Johnson Rd Guilford ME 04443-6213 |
| Practice Telephone | 2079071000 |
| Mailing Telephone | 2073431757 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | PI46330 | ME | Pharmacy Service Providers |
| Street Address |
360 BROADWAY |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154321545 | St. Joseph Hospital | General Acute Care Hospital | 360 Broadway, Bangor, ME 04401-3979 | 2005-07-28 |
| 1346802170 | Sadie Austin | Physician Assistant | 360 Broadway, Bangor, ME 04401-3900 | 2019-07-02 |
| 1386202794 | Ashley Gott Haase | Physical Therapist | 360 Broadway, Bangor, ME 04401-3979 | 2019-05-31 |
| 1992286546 | Royce Blackwood | Physician Assistant | 360 Broadway, Bangor, ME 04401-3979 | 2018-08-22 |
| 1407332869 | Sara Winings | Pharmacist | 360 Broadway, Bangor, ME 04401-3979 | 2018-07-18 |
| 1811489156 | Sandra Bartlett | Pharmacist | 360 Broadway, Bangor, ME 04401-3979 | 2018-06-02 |
| 1366999534 | Eliza Sharma | Internal Medicine | 360 Broadway, Bangor, ME 04401-3900 | 2016-09-06 |
| 1871946731 | Katelyn Hopper | Anesthesiology | 360 Broadway, Bangor, ME 04401-3979 | 2016-07-15 |
| 1790139459 | Stephen Calabrese | Anesthesiology | 360 Broadway, Bangor, ME 04401-3979 | 2016-04-19 |
| 1083073480 | Jesse Knowlton | Nurse Anesthetist, Certified Registered | 360 Broadway, Bangor, ME 04401-3900 | 2016-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033697867 | John Onori | Pharmacy Technician | 11 Basketball Ct, Bangor, ME 04401-7242 | 2018-08-02 |
| 1437639259 | Oluwapemi Emiola | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2018-08-21 |
| 1437639150 | Elizabeth Kiser | Pharmacy Technician | 1012 Union St, Bangor, ME 04401-3060 | 2018-08-21 |
| 1881174019 | Nancy Adindu | Pharmacy Technician | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2018-08-16 |
| 1326527912 | Bethany Purinton | Pharmacy Technician | 268 Stillwater Ave, Bangor, ME 04401-3945 | 2018-08-14 |
| 1285129122 | Parva Rahmanian | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2018-06-23 |
| 1780107441 | Nicholas Pettegrow | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2017-07-24 |
| 1578086229 | Nicole Anne Schields | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2017-07-24 |
| 1467975292 | Ledor Friday Teekate | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2017-07-24 |
| 1518480441 | John Haraszkiewicz | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2017-07-23 |
| Find all providers in BANGOR | ||||
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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.