KENNEBEC PHARMACY AND HOME CARE LLC


Address: 121 Medical Center Dr, Ste G500, Brunswick, ME 04011-2653
Phone: 2077293642

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
ME 110020000 05
NCPDP PROVIDER IDENTIFICATION NUMBER 2000951 01

Other Provider IDs and Locations

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

Office Location

Street Address 121 MEDICAL CENTER DR
STE G500
City BRUNSWICK
State ME
Zip Code 04011-2653

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332B00000X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
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Competitor

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City BRUNSWICK
Zip Code 04011

Improve Information

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Dataset Information

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.

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