MARY JO KING (NPI# 1629564018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629564018 |
| Entity Type | Individual |
| Full Name | MARY JO KING |
| Credential | PHARMD |
| Practice Address |
250 W Broadway Lincoln ME 04457-4006 |
| Mailing Address |
21 Sewall Dr Old Town ME 04468-1222 |
| Practice Telephone | 2077942055 |
| Practice Fax Number | 2077940220 |
| Mailing Telephone | 2072498007 |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR3743 | ME | Pharmacy Service Providers |
| Street Address |
250 W BROADWAY |
| City | LINCOLN |
| State | ME |
| Zip Code | 04457-4006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245258755 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 250 W Broadway, Lincoln, ME 04457-4006 | 2006-07-17 |
| 1790261477 | Lisbeth Cc Avakian | Pharmacist | 250 W Broadway, Lincoln, ME 04457-4006 | 2018-07-16 |
| 1942786983 | Kasey Lee Sinclair | Pharmacist | 250 W Broadway, Lincoln, ME 04457-4006 | 2018-07-12 |
| 1558857953 | Darlene Marie Leisentritt | Pharmacist | 250 W Broadway, Lincoln, ME 04457-4006 | 2018-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467928317 | Carlos Lopez & Associates LLC | Counselor | 213 W. Broadway, Lincoln, ME 04457 | 2018-10-18 |
| 1902303142 | Jennifer Harvey | Speech-Language Pathologist | 36 Workman Terrace Street, Lincoln, ME 04457 | 2018-04-12 |
| 1255714275 | Jill Bouchard | Registered Nurse | 313 Enfield Rd, Lincoln, ME 04457 | 2015-07-08 |
| 1346594769 | Total Renal Care Inc | Clinic/Center | 250 Enfield Rd, Lincoln, ME 04457 | 2012-11-07 |
| 1932429743 | Anne Marie Osolinski | Counselor | 8 Fleming Street, Suite C, Lincoln, ME 04457 | 2010-06-03 |
| 1477886711 | Lakeview Afch Inc | Custodial Care Facility | 10 E Broadway, Lincoln, ME 04457 | 2009-09-17 |
| 1326273418 | Colonial Healthcare | Assisted Living Facility | 36 Workman Terrace, Lincoln, ME 04457 | 2009-05-19 |
| 1730346743 | Mark B Weatherbee Od | Optometrist | 26 Enfield Road, Lincoln, ME 04457 | 2008-05-19 |
| 1396948139 | Alfred H. Vandine Jr. | Counselor | 313 Enfield Road, Lincoln, ME 04457 | 2007-06-08 |
| 1902024870 | Mary Catherine Goolsby | Social Worker | 313 Enfield Rd., Lincoln, ME 04457 | 2007-04-23 |
| Find all providers in zip 04457 | ||||
| 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 |
|---|---|---|---|---|
| 1457965923 | Joseph Edward Dimasso | Pharmacist | 106 Wilbur Rd, Lincoln, RI 02865-4320 | 2020-09-02 |
| 1811509367 | Brendan Bu | Pharmacist | 1393 Rawlings Ln, Lincoln, CA 95648-3220 | 2020-08-17 |
| 1871128199 | Kamy Niemeyer | Pharmacist | 5611 S 27th St, Lincoln, NE 68512-1613 | 2020-03-06 |
| 1518504802 | Just Better Medicine | Pharmacist | 6545 Stonebrook Pkwy, Lincoln, NE 68521-6659 | 2019-12-05 |
| 1831735604 | Cynthia Marcotte | Pharmacist | 915 1850th St, Lincoln, IL 62656-5210 | 2019-11-26 |
| 1659925121 | Nichole Renee Boggs | Pharmacist | 7045 O St., Lincoln, NE 68510 | 2019-08-01 |
| 1144884347 | Simon Rasho | Pharmacist | 6600 Peonies Dr, Lincoln, NE 68521-4573 | 2019-04-24 |
| 1346712858 | Ryan Ray Zwick | Pharmacist | 1600 S 48th St # Ne68506, Lincoln, NE 68506-1283 | 2018-12-21 |
| 1619455276 | Brian Derrick Sneed | Pharmacist | 919 Pulaski St, Lincoln, IL 62656-3133 | 2018-08-04 |
| 1912499864 | Nicole Christine O'brien | Pharmacist | 32 Linda St, Lincoln, RI 02865-2216 | 2018-06-05 |
| Find all providers in LINCOLN | ||||
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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.