Mark Dominique, PHARM.D, LCSW
NPI 1831423201ActiveIndividual· Pharmacist· Hampden, ME
Pharmacist (PHARM.D, LCSW) in Hampden, Maine, licensed in ME, with an NPI issued in October 2009.
Overview
| NPI | 1831423201 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHARM.D, LCSW |
| Sole proprietor | No |
| NPI issued | Oct 1, 2009 |
| Last updated in NPPES | Jul 17, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacist Primary | 183500000X | PR6065 | ME |
| Social Worker, Clinical | 1041C0700X | LC12200 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pharmacist providers in Hampden
- 1134100829
- 1659975241
- 1811811276
- 1578897526
- 1851995385
- 1811736937
- 1598166563
- 1861979825