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Active NPI 1831423201 Individual Practitioner Male Practitioner

Dr. Mark Dominique , PharmD, LCSW

Pharmacist • Hampden, ME

Professional Overview & Biography Verified Profile Summary

Dr. Mark Dominique, PharmD, LCSW is a registered healthcare professional specializing in Pharmacist in Hampden, ME. Practice services are available at 65 WESTERN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

65 Western Ave
Rite Aid

Hampden, ME 044441423

Telephone 2078624900
Associated Practice Facility / Clinic
🏢 Walgreen Eastern Co Inc Facility NPI 1013432426

Specialty Benchmarks & Practice Insights

Comparative analytics for Pharmacist in Hampden, ME

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Hampden, ME (1393 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pharmacist Primary Specialty

NUCC Taxonomy Code: 183500000X

State License ME PR6065

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.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

State License ME LC12200

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1578897526

Registered Pharmacist

NPI 1598166563

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 17, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location July 17, 2013

Registered at 65 WESTERN AVE, RITE AID, HAMPDEN, ME 044441423 (Tel: 2078624900)

📍
Updated Business Mailing Address July 17, 2013

Registered at 65 WESTERN AVE, HAMPDEN, ME 044441423 (Tel: 2078624900)

👤
Provider Name / Credentials Updated July 17, 2013

Recorded as MARK DOMINIQUE, PHARM.D, LCSW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 17, 2013

Social Worker (License #LC12200 in ME)

🟢
Initial NPI Registration & Enumeration October 01, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831423201
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2009
Last Update: July 17, 2013
Sole Proprietor: No

Mailing Address

65 Western Ave

Hampden, ME 044441423

Phone: 2078624900

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.