Active NPIIndividual provider

Jonathan Bourque, PHARMD

Pharmacist in Portland, Maine

NPI Number1669329892
Practice location
22 Bramhall St, Portland, ME 04102-3134
Fax
—
Last updated
March 16, 2026

Jonathan Bourque is a Pharmacist based in Portland, ME. Jonathan Bourque practices in Portland, ME and has the professional credentials of PHARMD. The NPI Number for Jonathan Bourque is 1669329892 and holds a License No. PR6049 (ME). The current practice location address for Jonathan Bourque is 22 Bramhall St, Portland, ME 04102-3134 and can be reached out via phone at 207-662-6040.

Provider Profile Details

NPI Number
1669329892
Provider Name
Jonathan Bourque
Credential
PHARMD
Provider Entity Type
Individual
Gender
Male
Address
22 Bramhall St, Portland, ME 04102-3134
Phone Number
207-662-6040
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
March 16, 2026
Last Update Date
March 16, 2026
Certification Date
March 16, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
22 Bramhall St
Portland, ME 04102-3134
State
Maine
Zip
04102-3134
Phone Number
207-662-6040
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
10 Lochlannach Ln
Arundel, ME 04046-8974
City
Arundel
State
ME
Zip
04046-8974

License Information

License Number
PR6049
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 Jonathan Bourque, PHARMD?

The NPI number of Jonathan Bourque, PHARMD is 1669329892. It was assigned on March 16, 2026 and is currently active in the NPPES registry.

What is the specialty of Jonathan Bourque, PHARMD?

Jonathan Bourque, PHARMD is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number PR6049.

Where does Jonathan Bourque, PHARMD practice?

The practice location is 22 Bramhall St, Portland, ME 04102-3134. The office can be reached at 207-662-6040 (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 1669329892 directly on the NPPES registry website.

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