NICHOLAS PETTEGROW (NPI# 1780107441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780107441 |
| Entity Type | Individual |
| Full Name | NICHOLAS PETTEGROW |
| Practice Address |
1 College Cir Bangor ME 04401-2929 |
| Practice Telephone | (207) 249-2017 |
| Mailing Telephone | (207) 249-2017 |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | PI28029 | ME | Pharmacy Service Providers |
| Street Address |
1 COLLEGE CIR |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-2929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004251 | Lauren Holleb | Psychologist | 1 College Cir, Bangor, ME 04401-2999 | 2019-07-01 |
| 1316508203 | Mason Roy | Physical Medicine & Rehabilitation | 1 College Cir, Bangor, ME 04401-2999 | 2019-06-22 |
| 1437639259 | Oluwapemi Emiola | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2018-08-21 |
| 1659851426 | Kosisochukwu Onwuka | Student in an Organized Health Care Education/Training Program | 1 College Cir, Bangor, ME 04401-2929 | 2018-08-20 |
| 1245710169 | Kendra Janice Hayward | Pharmacy | 1 College Cir, Bangor, ME 04401-2929 | 2018-08-20 |
| 1689154015 | Kishan Bhakta | Student in an Organized Health Care Education/Training Program | 1 College Cir, Bangor, ME 04401-2929 | 2018-08-15 |
| 1730669359 | Ismail Nasser | Counselor | 1 College Cir, Bangor, ME 04401-2929 | 2018-08-14 |
| 1619455045 | Matthew E Carter | Student in an Organized Health Care Education/Training Program | 1 College Cir, Bangor, ME 04401-2929 | 2018-07-28 |
| 1770069643 | Teralyn Ga Ling Chang | Student in an Organized Health Care Education/Training Program | 1 College Cir, Bangor, ME 04401-2929 | 2018-07-13 |
| 1285129122 | Parva Rahmanian | Pharmacy Technician | 1 College Cir, Bangor, ME 04401-2929 | 2018-06-23 |
| 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 |
| 1609356559 | Casey Marie Northup | Pharmacy Technician | 360 Broadway, Bangor, ME 04401-3900 | 2018-08-20 |
| 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 |
| 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.