IndividualActive
Carl Boucher, R.PH.
NPI 1164019048 · Pharmacist · Brewer, ME
Provider details
- NPI number
- 1164019048
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Credential
- R.PH.
- Sex
- Male
- Sole proprietor
- No
- License
- PR5010 (ME)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
383 Wilson St
Brewer, ME 04412-1521
Phone: (207) 989-8290
Approximate (ZIP-level) locationGet directions
Mailing address
39 Florida Ave
Bangor, ME 04401-3064
Registry dates
- Enumerated
- 2020-12-28
- Last updated
- 2020-12-28
- Certified
- 2020-12-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.