CHRYSALIS WILD
NPI 1407231558
Pharmacist in Bangor, ME

Active since July 29, 2015
60 LONGVIEW DR, BANGOR, ME 04401(207) 945-9977 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Chrysalis Wild NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRYSALIS WILD (NPI 1407231558) is an individual pharmacist in Bangor, Maine, licensed in Maine (PR12432) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1407231558
Entity TypeIndividualFemale
Primary Taxonomy183500000X
Provider Legal NameCHRYSALIS WILD
Location Address60 LONGVIEW DRBangor, ME 04401-3629
Mailing Address60 Longview DrBangor, ME 04401-3629
Sole ProprietorNo
Enumeration DateJuly 29, 2015
NPI 1407231558 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ME · PR12432
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
60 LONGVIEW DR, Bangor, ME 04401

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
60 LONGVIEW DR
BANGOR, ME 04401
Pharmacy
60 LONGVIEW DR
BANGOR, ME 04401
Pharmacist
60 LONGVIEW DR
BANGOR, ME 04401
Pharmacist
60 LONGVIEW DR
BANGOR, ME 04401
Pharmacist
60 LONGVIEW DR
BANGOR, ME 04401
Pharmacist
60 LONGVIEW DR
BANGOR, ME 04401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chrysalis Wild's NPI number?

The NPI number for Chrysalis Wild is 1407231558. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is Chrysalis Wild located?

Chrysalis Wild practices at 60 Longview Dr, Bangor, ME 04401. The listed phone number is (207) 945-9977.

What is Chrysalis Wild's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Chrysalis Wild was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.