Active NPIIndividual providerSole proprietor

Momenjan T Abdullayof, PHARMACIST

Pharmacist in South Portland, Maine

NPI Number1801102512
Practice location
225 Waterman Dr, South Portland, ME 04106-3617
Fax
207-899-4613
Last updated
September 21, 2011

Momenjan T Abdullayof is a Pharmacist based in South Portland, ME. Momenjan T Abdullayof practices in South Portland, ME and has the professional credentials of PHARMACIST. The NPI Number for Momenjan T Abdullayof is 1801102512 and holds a License No. PR 4795 (ME). The current practice location address for Momenjan T Abdullayof is 225 Waterman Dr, South Portland, ME 04106-3617 and can be reached out via phone at 207-899-4600 and via fax at 207-899-4613.

Provider Profile Details

NPI Number
1801102512
Provider Name
Momenjan T Abdullayof
Credential
PHARMACIST
Provider Entity Type
Individual
Gender
Male
Address
225 Waterman Dr, South Portland, ME 04106-3617
Phone Number
207-899-4600
Fax Number
207-899-4613
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
Yes
Provider Enumeration Date
August 19, 2010
Last Update Date
September 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
225 Waterman Dr
South Portland, ME 04106-3617
State
Maine
Zip
04106-3617
Phone Number
207-899-4600
Fax Number
207-899-4613
South Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
989 Shore RD
Cape Elizabeth, ME 04107-1909
City
Cape Elizabeth
State
ME
Zip
04107-1909
Phone Number
207-767-4517

License Information

License Number
PR 4795
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 Momenjan T Abdullayof, PHARMACIST?

The NPI number of Momenjan T Abdullayof, PHARMACIST is 1801102512. It was assigned on August 19, 2010 and is currently active in the NPPES registry.

What is the specialty of Momenjan T Abdullayof, PHARMACIST?

Momenjan T Abdullayof, PHARMACIST is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number PR 4795.

Where does Momenjan T Abdullayof, PHARMACIST practice?

The practice location is 225 Waterman Dr, South Portland, ME 04106-3617. The office can be reached at 207-899-4600 (phone) or 207-899-4613 (fax).

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 1801102512 directly on the NPPES registry website.

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