NORTHERN MAINE MEDICAL CENTER (NPI# 1386147098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386147098 |
| Entity Type | Organization |
| Organization Name | NORTHERN MAINE MEDICAL CENTER |
| Other Organization Name | NORTHERN MAINE MEDICAL CENTER PHARMACY |
| Practice Address |
104 Main St Madawaska ME 04756-1437 |
| Practice Telephone | 2077287200 |
| Practice Fax Number | 2077287227 |
| Mailing Telephone | 2077287200 |
| Mailing Fax Number | 2077287227 |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | CLAIRE MOSS (EXECUTIVE SECRETARY) |
| Authorized Official Telephone | 2078341411 |
| Is Organization Subpart | Y |
| Parent Organization Name | NORTHERN MAINE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| Northern Maine Medical Center Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417430 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 104 Main St, Madawaska, ME 04756 | 2005-12-10 |
| 1174519490 | Northern Maine Medical Center | Nursing Facility/Intermediate Care Facility | 25 Bolduc Ave, Fort Kent, ME 04743-1601 | 2005-09-22 |
| 1568465144 | Northern Maine Medical Center | General Acute Care Hospital | 194 East Main Street, Fort Kent, ME 04743-1428 | 2005-05-27 |
| 1851942429 | Northern Maine Medical Center | Pharmacy | 194 E Main St, Fort Kent, ME 04743-1428 | 2019-09-25 |
| 1548785371 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756 | 2017-08-14 |
| 1891184172 | Northern Maine Medical Center | Medicare Defined Swing Bed Unit | 194 E Main St, Fort Kent, ME 04743-1428 | 2015-01-09 |
| 1790830503 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 194 E Main St, Fort Kent, ME 04743-1428 | 2007-01-24 |
| 1750443842 | Northern Maine Medical Center | Internal Medicine | 197 E Main St, Fort Kent, ME 04743-1409 | 2006-12-14 |
| 1053345546 | Northern Maine Medical Center | Psychologist | 194 E Main St, Fort Kent, ME 04743-1428 | 2006-07-10 |
| 1962481077 | Northern Maine Medical Center | General Practice | 194 E Main St, Fort Kent, ME 04743 | 2006-01-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN MAINE MEDICAL CENTER | 194 E Main St, Fort Kent, ME 04743-1428 |
| Street Address |
104 MAIN ST |
| City | MADAWASKA |
| State | ME |
| Zip Code | 04756-1437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265417430 | Northern Maine Medical Center | Durable Medical Equipment & Medical Supplies | 104 Main St, Madawaska, ME 04756 | 2005-12-10 |
| 1548785371 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756 | 2017-08-14 |
| 1003330234 | Noelle Bouchard | Pharmacist | 104 Main St, Madawaska, ME 04756-1437 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023642758 | Ian David Lee | Student in an Organized Health Care Education/Training Program | 205 21st Avenue, Madawaska, ME 04756 | 2020-03-03 |
| 1194123893 | Robin Romann | Social Worker | 88 Fox St Ste 101, Madawaska, ME 04756 | 2014-12-11 |
| 1457507972 | Country Village Estates L.L.C. | Assisted Living Facility | 260 Dugal Drive, Madawaska, ME 04756 | 2008-08-15 |
| 1124120738 | Sarah Frances Borja Chua | Internal Medicine | 460 Main St Ste 104, Madawaska, ME 04756 | 2006-09-03 |
| 1225006778 | Steven Albert | Nurse Practitioner | 460 Main Street, Suite 104, Madawaska, ME 04756 | 2006-03-10 |
| 1609269711 | Kayla Cl Michaud | Counselor | 88 Fox St, Madawaska, ME 04756 | 2015-03-13 |
| 1073809034 | Heather A Berce | Social Worker | 88 Fox St, Suite 101, Madawaska, ME 04756 | 2011-06-28 |
| 1235423922 | Tricia L. Perreault | Counselor | 88 Fox St, Suite 101, Madawaska, ME 04756 | 2011-05-31 |
| 1396863791 | Lori A Martin | Social Worker | 272 Main Street Suite 103, Madawaska, ME 04756-0602 | 2007-03-26 |
| 1851664585 | Sonya Poiesz | Nurse Practitioner | 460 Main St Ste 201, Madawaska, ME 04756-1014 | 2012-02-10 |
| Find all providers in zip 04756 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1124687538 | Rx Associates LLC | Pharmacy | 711 Broadway Ste 1, Bangor, ME 04401-3225 | 2019-06-10 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1871076117 | Aroostook Apothecary LLC | Pharmacy | 73 Presque Isle Road, Ashland, ME 04732 | 2018-09-12 |
| 1518481134 | Aroostook Pharmacy Inc. | Pharmacy | 182 Market St Ste 2, Fort Kent, ME 04743-1514 | 2017-07-26 |
| 1487067997 | Seaside Pharmacy | Pharmacy | 59 School Street, Stonington, ME 04681 | 2014-06-03 |
| 1609216498 | Dirigo Drug LLC | Pharmacy | 1144 Main Street, Clinton, ME 04927 | 2013-06-26 |
| 1790077477 | Bedard Pharmacy, Inc. | Pharmacy | 359 Minot Ave Ste B, Auburn, ME 04210-4329 | 2011-05-12 |
| 1255648689 | Jensen's Pharmacy | Pharmacy | 91 Camden St Ste 105, Rockland, ME 04841-2421 | 2010-09-07 |
| 1780913111 | M Drug LLC | Pharmacy | 33 Whiting Hill Rd Ste 4, Brewer, ME 04412-1022 | 2009-12-14 |
| Find all providers with the same taxonomy | ||||
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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.