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Dr. Justin Levesque, PharmD

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

NPI number1871198564
StatusActive
Last updated in NPPESMar 21, 2023

Details

NPI
1871198564
Entity type
Individual (NPI-1)
Name
Dr. Justin Levesque
Credential
PharmD
Sex
Male
Sole proprietor
No
Enumeration date
Dec 1, 2020
Certification date
Mar 21, 2023
Last updated
Mar 21, 2023

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 PharmacistPR27894MEYes

Practice location

29 Marginal Way
Portland, ME 04101-1967

Phone 207-899-0886

Mailing address

29 Marginal Way
Portland, ME 04101-1967

Phone 207-899-0886

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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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