NICHOLAS PETTEGROW


Address: 1 College Cir, Bangor, ME 04401-2929
Phone: (207) 249-2017

NICHOLAS PETTEGROW (NPI# 1780107441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183700000X Pharmacy Technician PI28029 ME Pharmacy Service Providers

Office Location

Street Address 1 COLLEGE CIR
City BANGOR
State ME
Zip Code 04401-2929

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 183700000X
Grouping Pharmacy Service Providers
Classification Pharmacy Technician

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Competitor

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City BANGOR
Zip Code 04401

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Dataset Information

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.

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