IndividualActive
Bradley Bouchard
NPI 1629486774 · Pharmacist · Old Town, ME
Bradley Bouchard is a Pharmacist provider in Old Town, ME (NPI 1629486774).
Provider details
- NPI number
- 1629486774
- Entity type
- Individual
- Primary specialty
- PharmacistPharmacy Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- PR27869 (ME)
Specialties & taxonomies
Pharmacy Service Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
302 Main St
Old Town, ME 04468-1535
Phone: (207) 827-8021
Street-level locationGet directions
Mailing address
41 Colony Pl
Millinocket, ME 04462-1901
Registry dates
- Enumerated
- 2014-07-31
- Last updated
- 2014-07-31
Frequently asked questions
- What is Bradley Bouchard's NPI number?
- Bradley Bouchard's National Provider Identifier (NPI) is 1629486774, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bradley Bouchard's specialty?
- Bradley Bouchard is listed in the NPPES registry with a primary specialty of Pharmacist (Pharmacy Service Providers).
- Where is Bradley Bouchard located?
- Bradley Bouchard's practice location on file with NPPES is 302 Main St, Old Town, ME 04468-1535.
- What is Bradley Bouchard's phone number?
- The practice phone number listed in the NPPES registry for Bradley Bouchard is (207) 827-8021.
- Is Bradley Bouchard's NPI active?
- Yes — Bradley Bouchard's NPI (1629486774) is active in the NPPES registry as of the last update on 2014-07-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.