MR. WILLIAM JOSEPH MACKILLIGAN (NPI# 1992898530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992898530 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM JOSEPH MACKILLIGAN |
| Credential | R.PH |
| Practice Address |
331 Veranda St Portland ME 04103-5545 |
| Mailing Address |
1 Mollys Run Kennebunk ME 04043-7768 |
| Practice Telephone | 8003220280 |
| Mailing Telephone | 2079850981 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 183500000X | Pharmacist | 15540 | MA | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | RR1155 | NH | Pharmacy Service Providers |
| Y | 183500000X | Pharmacist | PR0002929 | ME | Pharmacy Service Providers |
| Street Address |
331 VERANDA ST |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-5545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023014198 | Linda K Morrison | Ophthalmology | 331 Veranda St, Portland, ME 04103-5545 | 2005-06-23 |
| 1326561564 | Katherine Smith | Nurse Practitioner | 331 Veranda St, Portland, ME 04103-5545 | 2017-07-19 |
| 1609304658 | Jessica B Mcconville | Nurse Practitioner | 331 Veranda St, Portland, ME 04103-5545 | 2017-06-02 |
| 1598298697 | Kristen Lang | Family Medicine | 331 Veranda St, Portland, ME 04103-5545 | 2017-04-05 |
| 1104369164 | Kimberly Wallingford Macvane | Physical Therapist | 331 Veranda St, Building 6, Rm 3311, Portland, ME 04103-5545 | 2016-11-23 |
| 1972974434 | Ashley Vadas | Social Worker | 331 Veranda St, Bldg. 6, Portland, ME 04103-5545 | 2015-10-09 |
| 1902274541 | Alliance Physical Therapy, LLC | Physical Therapist | 331 Veranda St, Building 6, Rm 3311, Portland, ME 04103-5545 | 2015-09-14 |
| 1780052795 | Austin Cary Stonebraker | Physical Therapist | 331 Veranda St, Building 6, Room 3311, Portland, ME 04103-5545 | 2015-09-08 |
| 1043688039 | Pinnacle Rehabilitation Network LLC | Physical Therapist | 331 Veranda St, Building 6, Room 3311, Portland, ME 04103-5545 | 2015-09-08 |
| 1114308277 | James Mcilhenny Riddleberger | Family Medicine | 331 Veranda St, Portland, ME 04103 | 2015-06-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790302677 | Hope for All Community Services LLC | Community/Behavioral Health | 68 Bishop St, Building 1, Unit 1, Portland, ME 04103 | 2020-06-26 |
| 1982251435 | Hope Home Healthcare, LLC | Home Health | 68 Bishop St Unit 3 #2, Portland, ME 04103 | 2019-08-20 |
| 1992367023 | Care for Everyone | In Home Supportive Care | 68 Bishop Street, Unit 1, Room 5, Portland, ME 04103 | 2019-06-28 |
| 1093373458 | Emanuel Nistrian | Student in an Organized Health Care Education/Training Program | Une, 716 Stevens Ave., Portland, ME 04103 | 2019-05-31 |
| 1023676483 | Robert Montague | Student in an Organized Health Care Education/Training Program | University of New England, 716 Stevens Ave, Portland, ME 04103 | 2019-05-31 |
| 1154838027 | Kimberly Therriault | Behavior Technician | 527 Ocean Ave Ste 19, Portland, ME 04103 | 2018-01-02 |
| 1285147918 | Teresa Maalouf | Community Health Worker | 23 Cambridge St., Portland, ME 04103 | 2017-11-16 |
| 1578082244 | Darcelle Kay Stillman | Occupational Therapist | 90 Dorothy St, Portland, ME 04103 | 2017-09-14 |
| 1821524943 | Engility Enterprises LLC | Case Management | 1 Coast Lane, Portland, ME 04103 | 2017-05-10 |
| 1720524283 | Hannah Rose Kazilionis | Counselor | 257 Deering Ave # 204, Portland, ME 04103 | 2017-01-09 |
| Find all providers in zip 04103 | ||||
| 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] |
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| 1427696632 | Thai Tran | Pharmacist | 7901 Se Powell Blvd, Portland, OR 97206-2314 | 2019-12-18 |
| 1740825587 | Dalia Bayaa | Pharmacist | 325 Sw Harrison Street, Portland, OR 97201 | 2019-11-15 |
| 1225687981 | Pheba Mariam Jones | Pharmacist | Ohsu Pharmacy At Chh Building 2, 3303 Sw Bond Ave Rm 1090, Portland, OR 97239 | 2019-09-05 |
| 1952966970 | Linda P. Pham | Pharmacist | 7901 Se Powell Blvd Ste K, Portland, OR 97206-2314 | 2019-05-06 |
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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.