MR. ROGER GOODWIN WILMOT JR. (NPI# 1730423195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730423195 |
| Entity Type | Individual |
| Full Name | MR. ROGER GOODWIN WILMOT JR. |
| Practice Address |
97 Mcalister Farm Rd Portland ME 04103-5946 |
| Practice Telephone | 2077750631 |
| Mailing Telephone | 2077750631 |
| Enumeration Date | 2012-11-23 |
| Last Update Date | 2012-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835G0303X |
Pharmacist Specialization: Geriatric |
PR2859 | ME | Pharmacy Service Providers |
| Street Address |
97 MCALISTER FARM RD |
| City | PORTLAND |
| State | ME |
| Zip Code | 04103-5946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912017906 | Pharmerica East LLC | Pharmacy | 97 Mcalister Farm Rd, Portland, ME 04103 | 2006-08-30 |
| 1558898940 | Stephen Luciano | Pharmacist | 97 Mcalister Farm Rd, Portland, ME 04103-5946 | 2017-05-16 |
| 1174063499 | David Tower | Pharmacist | 97 Mcalister Farm Rd, Portland, ME 04103-5946 | 2017-03-06 |
| 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 | 1835G0303X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Geriatric |
| A pharmacist who is certified in geriatric pharmacy practice is designated as a "Certified Geriatric Pharmacist" (CGP). To become certified, candidates are expected to be knowledgeable about principles of geriatric pharmacotherapy and the provision of pharmaceutical care to the elderly. |
| Notes: Source: Commission for Certification in Geriatric Pharmacy (www.ccgp.org) [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811344500 | Karen Pickel | Pharmacist | 35 Wilcox Ln, Portland, CT 06480-1002 | 2016-05-23 |
| 1902964810 | George R Gerding | Pharmacist | 1429 Se 55th Ave, Portland, OR 97215-2665 | 2006-12-04 |
| 1992218838 | Kristen Massing Wilson | Pharmacist | 4531 Se Belmont St Ste 100, Portland, OR 97215-1675 | 2017-11-14 |
| 1508110453 | Ginnie Lee Johnson | Pharmacist | 16100 Sw 72nd Ave, Portland, OR 97224-7745 | 2012-10-30 |
| 1538499900 | Terry Mac Green | Pharmacist | 16100 Sw 72nd Ave, Portland, OR 97224-7745 | 2010-01-07 |
| 1720220684 | Mary F. Folan Laucka | Pharmacist | 4560 Se International Way, Suite 101, Portland, OR 97222-4628 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053774935 | Patrick S Cote | Pharmacist | 460 Civic Center Dr, Augusta, ME 04330-7902 | 2016-03-30 |
| 1568666931 | Douglas Ray Edinger | Pharmacist | 3 Burnt Cove Road, Stonington, ME 04681 | 2007-06-12 |
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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.