Active NPIIndividual provider

Kirill K Goncharov

Pharmacist in Rockland, Maine

NPI Number1659972529
Practice location
75 Maverick St, Rockland, ME 04841-2448
Fax
—
Last updated
November 5, 2020

Kirill Konstantin Goncharov is a Pharmacist based in Rockland, ME. Kirill Konstantin Goncharov practices in Rockland, ME. The NPI Number for Kirill Konstantin Goncharov is 1659972529 and holds a License No. PR12616 (ME). The current practice location address for Kirill Konstantin Goncharov is 75 Maverick St, Rockland, ME 04841-2448 and can be reached out via phone at 207-596-6389.

Provider Profile Details

NPI Number
1659972529
Provider Name
Kirill Konstantin Goncharov
Provider Entity Type
Individual
Gender
Male
Address
75 Maverick St, Rockland, ME 04841-2448
Phone Number
207-596-6389
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
November 5, 2020
Last Update Date
November 5, 2020
Certification Date
November 5, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 Maverick St
Rockland, ME 04841-2448
State
Maine
Zip
04841-2448
Phone Number
207-596-6389
Rockland, ME 04841Get directions →

Provider Business Mailing Address Details

Address
249 Main St
Rockport, ME 04856-5722
City
Rockport
State
ME
Zip
04856-5722

License Information

License Number
PR12616
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 Kirill K Goncharov?

The NPI number of Kirill K Goncharov is 1659972529. It was assigned on November 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Kirill K Goncharov?

Kirill K Goncharov is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number PR12616.

Where does Kirill K Goncharov practice?

The practice location is 75 Maverick St, Rockland, ME 04841-2448. The office can be reached at 207-596-6389 (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 1659972529 directly on the NPPES registry website.

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