Healthcare Provider Details

I. General information

NPI: 1043126105
Provider Name (Legal Business Name): KATHRYN SARAH GAJDA PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 GRAY RD
FALMOUTH ME
04105-2057
US

IV. Provider business mailing address

186 HIGH ST APT 2
SOUTH PORTLAND ME
04106-3046
US

V. Phone/Fax

Practice location:
  • Phone: 207-878-0017
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPR73318
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: