KENNEBEC PHARMACY AND HOME CARE LLC (NPI# 1063445625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063445625 |
Entity Type | Organization |
Organization Name | KENNEBEC PHARMACY AND HOME CARE LLC |
Practice Address |
121 Medical Center Dr Ste G500 Brunswick ME 04011-2653 |
Mailing Address |
43 Leighton Rd Augusta ME 04330-7705 |
Practice Telephone | 2077293642 |
Practice Fax Number | 2077292704 |
Mailing Telephone | 2076262726 |
Mailing Fax Number | 2077292704 |
Enumeration Date | 2006-07-08 |
Last Update Date | 2018-10-31 |
Authorized Official Name | JOE MCVETY (GM) |
Authorized Official Telephone | 2076262726 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
N | 333600000X | Pharmacy | PH50001463 | ME | Suppliers |
Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
ME | 110020000 | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 2000951 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841649639 | Kennebec Pharmacy and Home Care LLC | Durable Medical Equipment & Medical Supplies | 11 Medical Center Pkwy Ste A, Augusta, ME 04330-8158 | 2016-06-13 |
1265832752 | Kennebec Pharmacy and Home Care LLC | Pharmacy | 11 Medical Center Pkwy Ste B, Augusta, ME 04330-8158 | 2014-09-03 |
1710992342 | Kennebec Pharmacy and Home Care LLC | Pharmacy | 839 Commercial St, Rockport, ME 04856-4243 | 2006-07-30 |
1487668927 | Kennebec Pharmacy and Home Care LLC | Pharmacy | 43 Leighton Rd, Augusta, ME 04330-7705 | 2006-07-28 |
Street Address |
121 MEDICAL CENTER DR STE G500 |
City | BRUNSWICK |
State | ME |
Zip Code | 04011-2653 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568465599 | Nathaniel Hyde | Surgery | 121 Medical Center Dr, Ste 2550, Brunswick, ME 04011-2681 | 2005-05-23 |
1326410333 | Ruth E Macy | Physical Therapist | 121 Medical Center Dr, Brunswick, ME 04011-2653 | 2015-10-29 |
1447650676 | Maud Van De Wiele | Advanced Practice Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2014-08-25 |
1427320928 | Aoife Elizabeth O'brien | Advanced Practice Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2012-01-31 |
1083921282 | Alexis Leigh Nolan | Midwife | 121 Medical Center Dr, Ste 2700, Brunswick, ME 04011-2669 | 2010-09-09 |
1053544718 | Annemarie B. Curnin | Midwife | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2009-08-28 |
1972768166 | Diana Vradii | Internal Medicine | 121 Medical Center Dr, Suite 3500, Brunswick, ME 04011-2653 | 2008-07-28 |
1912167347 | Laura B Smith-tucker | Nurse Practitioner | 121 Medical Center Dr, Suite 3400, Brunswick, ME 04011-2653 | 2008-06-10 |
1396928412 | Suzanne W Zimmerman | Registered Nurse | 121 Medical Center Dr, Suite 2700, Brunswick, ME 04011-2653 | 2007-12-12 |
1477762383 | Mid Coast Cardiology | Internal Medicine | 121 Medical Center Dr, Suite 3100, Brunswick, ME 04011-2653 | 2007-05-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
Find all providers in zip 04011 |
Taxonomy Code | 332B00000X |
Grouping | Suppliers |
Classification | Durable Medical Equipment & Medical Supplies |
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
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1689226334 | American Nursing Supply LLC | Durable Medical Equipment & Medical Supplies | 4427 Newcastle Cv, Brunswick, OH 44212-4097 | 2019-07-12 |
1316499437 | Sam's East, Inc. | Durable Medical Equipment & Medical Supplies | 10100 Canal Crossing, Brunswick, GA 31525-6705 | 2016-10-25 |
1376949164 | Richard Bradham, Inc | Durable Medical Equipment & Medical Supplies | 2500 Starling St Ste 105, Brunswick, GA 31520-4266 | 2014-11-06 |
1528482353 | Samson Merger Sub, LLC | Durable Medical Equipment & Medical Supplies | 284 Hyde Park Cmns, Brunswick, GA 31523-6601 | 2014-02-14 |
1528360013 | Wmi Marketing Group,inc | Durable Medical Equipment & Medical Supplies | 3655 Altama Ave, Brunswick, GA 31520-3631 | 2010-12-03 |
1326217530 | Grayco Medical | Durable Medical Equipment & Medical Supplies | 3770 Heinly Ct, Brunswick, OH 44212-4441 | 2008-02-22 |
1164606067 | Coastal Orthopedic Products, Inc. | Durable Medical Equipment & Medical Supplies | 1900 Second Street, Brunswick, GA 31520 | 2007-12-27 |
1588846810 | Brunswick Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1603 Gloucester St, Brunswick, GA 31520-7146 | 2007-11-28 |
1821277971 | Cs Berrie Inc. | Durable Medical Equipment & Medical Supplies | 86 Maine St, Brunswick, ME 04011-2015 | 2007-10-25 |
1902093057 | J.h. Harvey Co., LLC | Durable Medical Equipment & Medical Supplies | 284 Hyde Park Commons, Brunswick, GA 31523-0000 | 2007-10-02 |
Find all providers in BRUNSWICK |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.