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Kelly M Estremera, R.Ph

Pharmacist in Bangor, ME. Individual provider (NPI-1).

NPI number1245514918
StatusActive
Last updated in NPPESSep 29, 2011

Details

NPI
1245514918
Entity type
Individual (NPI-1)
Name
Kelly M Estremera
Credential
R.Ph
Sex
Female
Sole proprietor
No
Enumeration date
Sep 29, 2011
Last updated
Sep 29, 2011

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
183500000X PharmacistPR5181MEYes

Practice location

706 Broadway
Bangor, ME 04401

Phone 207-262-0190

Mailing address

71 Pinetree Rd
Brewer, ME 04412-5308

Phone 508-409-9526

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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