BRENT J. PETERS (NPI# 1235551136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235551136 |
| Entity Type | Individual |
| Full Name | BRENT J. PETERS |
| Credential | R.PH. |
| Practice Address |
35 Miles St Damariscotta ME 04543-4047 |
| Practice Telephone | 2075634507 |
| Practice Fax Number | 2075634394 |
| Mailing Telephone | 2075634507 |
| Mailing Fax Number | 2075634394 |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2014-01-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR4902 | ME | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437283074 | Brent Tyler Peters | Internal Medicine | 2500 Rocky Mountain Ave, Suite 300, Loveland, CO 80538-9004 | 2007-03-15 |
| Street Address |
35 MILES ST |
| City | DAMARISCOTTA |
| State | ME |
| Zip Code | 04543-4047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124026778 | Jennifer S Smith | Internal Medicine | 35 Miles St, Damariscotta, ME 04543-4047 | 2005-07-08 |
| 1649879388 | Christopher Tinley | Physical Therapist | 35 Miles St, Damariscotta, ME 04543-4047 | 2020-10-23 |
| 1417561317 | Emily Christine Bloomfield | Student in an Organized Health Care Education/Training Program | 35 Miles St, Damariscotta, ME 04543-4047 | 2020-09-08 |
| 1043848039 | Kelly Doris O'connell | Dietitian, Registered | 35 Miles St, Damariscotta, ME 04543-4047 | 2020-03-27 |
| 1407405996 | Megan Lyn Richards | Physical Therapist | 35 Miles St, Damariscotta, ME 04543-4047 | 2019-09-06 |
| 1265088413 | Natalie Ann Hutchins | Occupational Therapist | 35 Miles St, Damariscotta, ME 04543-4047 | 2019-08-14 |
| 1639725922 | Alexandra Kristen Derosia | Physical Therapist | 35 Miles St, Damariscotta, ME 04543-4047 | 2019-08-13 |
| 1750941944 | Ann Chamberlin Boe | Dietitian, Registered | 35 Miles St, Damariscotta, ME 04543-4047 | 2019-06-19 |
| 1376109835 | Joan M Atkinson | Dietitian, Registered | 35 Miles St, Damariscotta, ME 04543-4047 | 2019-05-10 |
| 1285290742 | Elisabeth Cardali | Dietitian, Registered | 35 Miles St, Damariscotta, ME 04543-4047 | 2019-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497379416 | Misti Day | Registered Nurse | 35 Miles Center Way, Damariscotta, ME 04543 | 2020-06-05 |
| 1962967356 | Olivia Kay York | Specialist/Technologist | 20 Marshview Lane, Damariscotta, ME 04543 | 2019-02-10 |
| 1649764036 | Lisa Marie Dayringer | Audiologist | 468 Main Street Centre, Damariscotta, ME 04543 | 2018-06-19 |
| 1184174088 | Central Lincoln County Young Men's Christian Association, Inc. | Health Educator | 525 Main Street, Damariscotta, ME 04543 | 2016-10-04 |
| 1336494715 | Megan Mary Bain | Social Worker | 24 Miles Way, Damariscotta, ME 04543 | 2012-07-20 |
| 1245501253 | Diane Charpentier | Hearing Instrument Specialist | 468 Main Street, Damariscotta, ME 04543 | 2012-01-23 |
| 1134358823 | Marsha O. May | Occupational Therapist | 466 Main Street Centre, Damariscotta, ME 04543 | 2009-07-02 |
| 1992933378 | Lydia Ann Atkins | Speech-Language Pathologist | 464 Main St. Centre, Damariscotta, ME 04543 | 2009-06-24 |
| 1659509016 | Joan Cameron | Occupational Therapy Assistant | 466 Main St. Centre, Damariscotta, ME 04543 | 2009-06-24 |
| 1245474683 | Child Development Services - Lincoln | Speech-Language Pathologist | 114 Church Street, Damariscotta, ME 04543 | 2009-04-29 |
| Find all providers in zip 04543 | ||||
| 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 |
|---|---|---|---|---|
| 1134537350 | Brandon Paul Lancaster | Pharmacist | 365 Main St, Damariscotta, ME 04543-4654 | 2014-07-31 |
| 1245663905 | Derek Christopher Mcconnell | Pharmacist | 365 Main St, Damariscotta, ME 04543-4654 | 2013-08-16 |
| 1780935833 | Meridith Verney | Pharmacist | 35 Miles St, Damariscotta, ME 04543-4047 | 2012-09-28 |
| 1821302506 | John Andrew Bernier | Pharmacist | 365 Main St, Damariscotta, ME 04543-4654 | 2010-08-04 |
| 1346553088 | Andrew Kevin Robertson | Pharmacist | 365 Main St, Damariscotta, ME 04543-4654 | 2010-07-22 |
| 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 | DAMARISCOTTA |
| Zip Code | 04543 |
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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.