DR. PETER S MCLEAN (NPI# 1063854362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063854362 |
| Entity Type | Individual |
| Full Name | DR. PETER S MCLEAN |
| Credential | PHARMD |
| Practice Address |
188 Spring St Dexter ME 04930-1529 |
| Mailing Address |
406 Kenduskeag Ave Bangor ME 04401-3209 |
| Practice Telephone | 2079247000 |
| Mailing Telephone | 2077023778 |
| Enumeration Date | 2013-07-27 |
| Last Update Date | 2013-07-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR12899 | ME | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952377608 | Peter S Mclean | Physical Therapist | 120 N Everest Rd Ste C, Newberg, OR 97132-2116 | 2006-02-23 |
| Street Address |
188 SPRING ST |
| City | DEXTER |
| State | ME |
| Zip Code | 04930-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205127149 | Leon Vlasak | Pharmacist | 188 Spring St, Dexter, ME 04930-1529 | 2011-04-26 |
| 1114442431 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 188 Spring St, Dexter, ME 04930-1529 | 2017-08-08 |
| 1366725210 | William Agnew | Pharmacist | 188 Spring St, Dexter, ME 04930-1529 | 2011-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740493303 | Maine School Administrative District No. 46 | Local Education Agency (LEA) | 7 Main Street, Dexter, ME 04930 | 2007-05-08 |
| 1942413539 | Maine School Administrative District No. 46 | Case Management | 7 Main Street, Dexter, ME 04930 | 2007-05-08 |
| 1346383239 | Karen Clark Staffeld | Social Worker | 14 Maple Street, Dexter, ME 04930 | 2007-02-14 |
| 1457750044 | Sonja Hall | Physical Therapist | 335 Corrina Road, Dexter, ME 04930-0212 | 2014-08-19 |
| 1205070919 | Dexter Boarding Home | Custodial Care Facility | 45 Main St, Dexter, ME 04930-1267 | 2009-04-24 |
| 1811931249 | Robert J. Lodato | Internal Medicine | 41 High St, Dexter, ME 04930-1311 | 2006-06-15 |
| 1417269242 | Lori Michelle Towne | Nurse Practitioner | 41 High St, Dexter, ME 04930-1311 | 2010-07-09 |
| 1417079039 | Mrh Corp. | Family Medicine | 51 High St, Dexter, ME 04930-1311 | 2007-04-04 |
| 1174645931 | Mrh Corp. | Internal Medicine | 41 High St, Dexter, ME 04930-1311 | 2007-04-04 |
| 1366487258 | Lisa A. Starkweather | Nurse Practitioner | 51 High St, Dexter, ME 04930-1311 | 2006-06-17 |
| Find all providers in zip 04930 | ||||
| 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 |
|---|---|---|---|---|
| 1952902355 | Aaron Kate Menley | Pharmacist | 2025 West Business Highway 60, Dexter, MO 63841-6384 | 2020-11-03 |
| 1417558941 | Christa Renee Mcbroom | Pharmacist | 2025 Business Hwy 60w, Dexter, MO 63841 | 2020-11-02 |
| 1346858800 | Lauren Williams | Pharmacist | 2290 Melbourne Ave Apt 1008, Dexter, MI 48130-2504 | 2020-07-21 |
| 1295112449 | Cynthia Thibodeau | Pharmacist | 37 Church St, Dexter, ME 04930-1333 | 2015-04-27 |
| 1306230107 | David Mulcahy | Pharmacist | 904 West Business Hwy 60, Dexter, MO 63841 | 2015-03-19 |
| 1073939161 | Brandy Haasbroek | Pharmacist | 1007 W Bus Highway 60, Dexter, MO 63841-2703 | 2014-03-13 |
| 1720404064 | William Simmons | Pharmacist | 904 W Business Highway 60, Dexter, MO 63841 | 2014-03-11 |
| 1740541184 | Betty J Chaffee | Pharmacist | 8964 E Stoney Field Dr, Dexter, MI 48130-9591 | 2012-06-01 |
| 1205127149 | Leon Vlasak | Pharmacist | 188 Spring St, Dexter, ME 04930-1529 | 2011-04-26 |
| 1649573791 | Jane Elizabeth Crawford | Pharmacist | 1075 N Parker Rd, Dexter, MI 48130-9434 | 2010-12-13 |
| Find all providers in DEXTER | ||||
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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.