JOHN TEDEROUS SR.
NPI 1669068649
Pharmacist in Sanford, ME

Active since December 14, 2020
800 MAIN ST, SANFORD, ME 04073(207) 324-3450 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Tederous Sr. NPPES

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

JOHN TEDEROUS SR. (NPI 1669068649) is an individual pharmacist in Sanford, Maine, licensed in Maine (PR3980) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1669068649
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameJOHN TEDEROUS SR.
Location Address800 MAIN STSanford, ME 04073-3500
Mailing Address69 Welchs LnSanford, ME 04073-5424 · (207) 608-3747
Sole ProprietorNo
Enumeration DateDecember 14, 2020
NPPES CertifiedDecember 14, 2020
NPI 1669068649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License Licensed in ME · PR3980
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.
800 MAIN ST, Sanford, ME 04073

Other Providers at the Same Location NPPES 5

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

Pharmacist
800 MAIN ST
SANFORD, ME 04073
Pharmacist
800 MAIN ST
SANFORD, ME 04073
Pharmacy (Community/Retail Pharmacy)
800 MAIN ST
SANFORD, ME 04073
Pharmacist
800 MAIN ST
SANFORD, ME 04073
Pharmacist
800 MAIN ST
SANFORD, ME 04073

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 John Tederous's NPI number?

The NPI number for John Tederous is 1669068649. It was assigned to this individual provider in the NPPES registry on December 14, 2020.

Where is John Tederous located?

John Tederous practices at 800 Main St, Sanford, ME 04073. The listed phone number is (207) 324-3450.

What is John Tederous'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 John Tederous was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.