MR. THOMAS LEWIS KOTREDES (NPI# 1962839514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962839514 |
| Entity Type | Individual |
| Full Name | MR. THOMAS LEWIS KOTREDES |
| Credential | RPH |
| Practice Address |
210 State St Bangor ME 04401-5411 |
| Mailing Address |
48 Knox Ave Bangor ME 04401-3316 |
| Practice Telephone | 2079478369 |
| Mailing Telephone | 2079427187 |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2013-09-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR3235 | ME | Pharmacy Service Providers |
| Street Address |
210 STATE ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-5411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245628320 | Heather Watson | Pharmacist | 210 State St, Bangor, ME 04401-5411 | 2014-12-24 |
| 1346642477 | Miranda Byard | Pharmacist | 210 State St, Bangor, ME 04401-5411 | 2014-09-19 |
| 1124428180 | Riley Godley | Pharmacist | 210 State St, Bangor, ME 04401-5411 | 2014-08-27 |
| 1184052706 | Adam Jordan | Pharmacist | 210 State St, Bangor, ME 04401-5411 | 2013-10-16 |
| 1003242702 | Robert Wayne Cattan Jr. | Pharmacist | 210 State St, Bangor, ME 04401-5411 | 2013-09-25 |
| 1366878159 | Christine Elizabeth Cattan | Pharmacist | 210 State St, Bangor, ME 04401-5411 | 2013-09-24 |
| 1285937516 | Matthew H Brazier | Pharmacist | 210 State St, Bangor, ME 04401-5411 | 2010-12-08 |
| 1639485899 | M Drug LLC | Durable Medical Equipment & Medical Supplies | 210 State St, Bangor, ME 04401-5411 | 2010-08-26 |
| 1568677649 | Debra Bryant Kotredes | Pharmacist | 210 State St, Bangor, ME 04401-5411 | 2007-05-11 |
| 1275747123 | Christine A. Davis | Pharmacist | 210 State St, Bangor, ME 04401-5411 | 2007-05-10 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1336709377 | Jordan Christine Anderson | Pharmacist | 183 Center St, Bangor, ME 04401-4839 | 2019-06-20 |
| 1275056509 | Corey Michael Taylor | Pharmacist | 66 Court St Apt C, Bangor, ME 04401-4765 | 2017-07-19 |
| 1104372572 | Keith Robert Fairall | Pharmacist | 525 Fox Gap Rd, Bangor, PA 18013-5832 | 2016-08-26 |
| 1851761803 | Reagan Scott | Pharmacist | 111 Allen St Apt 4, Bangor, ME 04401-4477 | 2015-10-03 |
| 1144535352 | Lawrence A Sandi | Pharmacist | 682 Ohio St Apt 45, Bangor, ME 04401-3198 | 2010-08-11 |
| 1356675391 | Daniela Desantis | Pharmacist | 566 Union St, Bangor, ME 04401-3752 | 2009-09-23 |
| 1306076583 | Harini Pappu | Pharmacist | 226 Union St, Bangor, ME 04401-6160 | 2009-07-21 |
| 1629215470 | Shelly A Turner | Pharmacist | 438 Birch St, Bangor, ME 04401-4028 | 2009-01-15 |
| 1104092824 | Joyce Anna Beery | Pharmacist | 450 Blue Valley Dr, Bangor, PA 18013-1525 | 2008-05-02 |
| 1265537534 | Robin Brittelli | Pharmacist | 1012 Union St., Ste 5, Bangor, ME 04401-0000 | 2006-09-13 |
| Find all providers in BANGOR | ||||
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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.