MR. JOHN JOSEPH KIERNAN (NPI# 1770897415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770897415 |
| Entity Type | Individual |
| Full Name | MR. JOHN JOSEPH KIERNAN |
| Practice Address |
464 Main St Springvale ME 04083 |
| Practice Telephone | 2073241222 |
| Mailing Telephone | 2073241222 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR5595 | ME | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134213044 | John Edward Kiernan Jr. | Chiropractor | 2401 S 11th St, Saint Louis, MO 63104-4305 | 2006-10-03 |
| 1326046152 | John D Kiernan | Optometrist | 1214 Pierce St, Sioux City, IA 51105-1417 | 2005-07-14 |
| 1821635426 | John Edward Kiernan | Counselor | 8739 Santa Monica Blvd, West Hollywood, CA 90069-4507 | 2019-12-03 |
| 1144374927 | John G Kiernan | Psychologist | 322 W North River Dr, Spokane, WA 99201-3208 | 2007-01-22 |
| Street Address |
464 MAIN ST |
| City | SPRINGVALE |
| State | ME |
| Zip Code | 04083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891219960 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 464 Main St, Springvale, ME 04083-1818 | 2017-08-01 |
| 1366731366 | Jeanette Bernardo | Pharmacist | 464 Main St, Springvale, ME 04083-1818 | 2011-03-31 |
| 1235442252 | Tonnie Olise | Pharmacist | 464 Main St, Springvale, ME 04083-1818 | 2010-07-19 |
| 1578725727 | Fernanda Fonseca Menda | Pharmacist | 464 Main St, Springvale, ME 04083-1818 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053762567 | Anchor Senior Care Residence | Custodial Care Facility | 25 Oak Street, Springvale, ME 04083 | 2016-06-27 |
| 1154604288 | Sanford Family Eyecare PC | Optometrist | 462 Main St Ste 2, Springvale, ME 04083 | 2011-09-26 |
| 1366763831 | Susan G Lebel | Pharmacist | 12 Sabrina Ln, Springvale, ME 04083 | 2010-06-18 |
| 1093968943 | York County Community Action Corps | Case Management | 6 Merrill Street, Springvale, ME 04083 | 2008-10-23 |
| 1518022870 | Paul M Basko | Chiropractor | 596 Main Street, Springvale, ME 04083 | 2006-12-27 |
| 1578627493 | Celia R Thibodeau | Acupuncturist | 554 Main Street, Springvale, ME 04083 | 2006-12-22 |
| 1396156600 | Robert Mcvety | Dentist | 460 Main Street, Suite #1, Springvale, ME 04083 | 2014-05-09 |
| 1477976397 | Shayne Croy | Social Worker | 469 Main St Ste 304, Springvale, ME 04083 | 2014-01-29 |
| 1346340692 | Jay Morgan Knudsen | Dentist | 460 Main Street, Suite 1, Springvale, ME 04083 | 2006-09-25 |
| 1053411306 | Rosenberg & Knudsen LLC | Dentist | 460 Main Street, Suite 1, Springvale, ME 04083 | 2006-09-25 |
| Find all providers in zip 04083 | ||||
| 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 |
|---|---|---|---|---|
| 1366763831 | Susan G Lebel | Pharmacist | 12 Sabrina Ln, Springvale, ME 04083 | 2010-06-18 |
| 1366731366 | Jeanette Bernardo | Pharmacist | 464 Main St, Springvale, ME 04083-1818 | 2011-03-31 |
| 1235442252 | Tonnie Olise | Pharmacist | 464 Main St, Springvale, ME 04083-1818 | 2010-07-19 |
| 1578725727 | Fernanda Fonseca Menda | Pharmacist | 464 Main St, Springvale, ME 04083-1818 | 2008-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295624 | Melissa Foss | Pharmacist | 797 Roosevelt Trl, Windham, ME 04062-5341 | 2020-11-06 |
| 1023619202 | Scott Thomas Castonguay | Pharmacist | 20 Sokokis Trl, Waterboro, ME 04087-3056 | 2020-11-04 |
| 1609483874 | Megan K Pelletier | Pharmacist | Address: 182 Market St Suite 2, Fort Kent, ME 04743 | 2020-09-30 |
| 1336709377 | Jordan Christine Anderson | Pharmacist | 183 Center St, Bangor, ME 04401-4839 | 2019-06-20 |
| 1669035804 | Vesna Kravljaca | Pharmacist | 1406 Congress St, Portland, ME 04102-2119 | 2019-04-14 |
| 1407327422 | Christopher Nordgren D'amico | Pharmacist | 93 Oak Grove Dr, Brewer, ME 04412-1200 | 2018-12-17 |
| 1831667278 | Anna Levesque | Pharmacist | 220 Us-1, Ste 1, Bucksport, ME 04416 | 2018-11-04 |
| 1164903639 | Peter Kombakis | Pharmacist | 137 Ray St, Portland, ME 04103-4320 | 2018-08-23 |
| 1124508338 | Brittany Noel Shofner | Pharmacist | 478 Us Route 1, Yarmouth, ME 04096-6735 | 2018-08-16 |
| 1336627785 | Tiffany M Bricker | Pharmacist | 165 Capitol St, Augusta, ME 04330-6232 | 2018-07-29 |
| Find all providers with the same taxonomy | ||||
| City | SPRINGVALE |
| Zip Code | 04083 |
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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.