Active NPIIndividual providerSole proprietor

Dr. Misty D Beasley, PHARMD

Pharmacist in Portland, Maine

NPI Number1487477030
Practice location
449 Forest Ave, Portland, ME 04101-2029
Fax
—
Last updated
November 4, 2024

Misty Dawn Beasley is a Pharmacist based in Portland, ME. Misty Dawn Beasley practices in Portland, ME and has the professional credentials of PHARMD. The NPI Number for Misty Dawn Beasley is 1487477030 and holds a License No. PR5387 (ME). The current practice location address for Misty Dawn Beasley is 449 Forest Ave, Portland, ME 04101-2029 and can be reached out via phone at 207-772-1928.

Provider Profile Details

NPI Number
1487477030
Provider Name
Misty Dawn Beasley
Credential
PHARMD
Provider Entity Type
Individual
Gender
Female
Address
449 Forest Ave, Portland, ME 04101-2029
Phone Number
207-772-1928
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
November 4, 2024
Last Update Date
November 4, 2024
Certification Date
November 3, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
449 Forest Ave
Portland, ME 04101-2029
State
Maine
Zip
04101-2029
Phone Number
207-772-1928
Portland, ME 04101Get directions →

Provider Business Mailing Address Details

Address
76 Beacon St
Portland, ME 04103-4021
City
Portland
State
ME
Zip
04103-4021
Phone Number
207-756-2204

License Information

License Number
PR5387
License State
ME
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Misty D Beasley, PHARMD?

The NPI number of Dr. Misty D Beasley, PHARMD is 1487477030. It was assigned on November 4, 2024 and is currently active in the NPPES registry.

What is the specialty of Dr. Misty D Beasley, PHARMD?

Dr. Misty D Beasley, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number PR5387.

Where does Dr. Misty D Beasley, PHARMD practice?

The practice location is 449 Forest Ave, Portland, ME 04101-2029. The office can be reached at 207-772-1928 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1487477030 directly on the NPPES registry website.

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