M DRUG LLC (NPI# 1720394984) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720394984 |
| Entity Type | Organization |
| Organization Name | M DRUG LLC |
| Other Organization Name | MILLER DRUG RIVERSIDE |
| Practice Address |
417 State St Suite 130 Bangor ME 04401-6630 |
| Mailing Address |
Po Box 1779 Bangor ME 04402-1779 |
| Practice Telephone | 2079738888 |
| Practice Fax Number | 2079738891 |
| Mailing Telephone | 2079072813 |
| Mailing Fax Number | 2075614804 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | VINCENT MAINELLA (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 2079072341 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 6420810003 | ME | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH50001488 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | NCPDP PROVIDER IDENTIFICATION NUMBER | 2004288 | 01 |
| ME | 435769003 | 05 |
| Other Name | Type Code |
|---|---|
| Miller Drug Riverside | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811392921 | M Drug LLC | Pharmacy | 401 N Main St Ste A&b, Brewer, ME 04412-1873 | 2014-10-31 |
| 1780913111 | M Drug LLC | Pharmacy | 33 Whiting Hill Rd Ste 4, Brewer, ME 04412-1022 | 2009-12-14 |
| 1427153600 | M Drug LLC | Pharmacy | 915 Union St Ste 7, Bangor, ME 04401-8604 | 2006-09-13 |
| 1407951676 | M Drug LLC | Pharmacy | 417 State St Ste 130, Bangor, ME 04401-6630 | 2006-09-13 |
| 1952856759 | M Drug LLC | Pharmacy | 195 Fore River Pkwy Ste 170, Portland, ME 04102-2782 | 2016-08-22 |
| 1801102066 | M Drug LLC | Durable Medical Equipment & Medical Supplies | 208 State St, Bangor, ME 04401 | 2010-08-26 |
| 1366758526 | M Drug LLC | Durable Medical Equipment & Medical Supplies | 33 Whiting Hill Rd, Ste 4, Brewer, ME 04412-1004 | 2010-08-26 |
| 1639485899 | M Drug LLC | Durable Medical Equipment & Medical Supplies | 210 State St, Bangor, ME 04401-5411 | 2010-08-26 |
| 1184939951 | M Drug LLC | Durable Medical Equipment & Medical Supplies | 915 Union St, Ste 7, Bangor, ME 04401-8602 | 2010-08-17 |
| 1477564417 | M Drug LLC | Durable Medical Equipment & Medical Supplies | 208 State St, Bangor, ME 04401-5411 | 2006-08-11 |
| Street Address |
417 STATE ST SUITE 130 |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-6630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295731131 | David Lawrence Levy | Internal Medicine | 417 State St, Ste 321, Bangor, ME 04401-6638 | 2005-06-24 |
| 1891304473 | Kristina Lynn Leonard | Nurse Practitioner | 417 State St, Bangor, ME 04401-6630 | 2020-07-29 |
| 1528558830 | Kelli Megan Nicole Huth | Physician Assistant | 417 State St, Bangor, ME 04401-6630 | 2018-05-11 |
| 1770005670 | Caitlin Dombrowski | Psychologist | 417 State St, Bangor, ME 04401 | 2017-07-12 |
| 1497281844 | Jamie Hight | Physician Assistant | 417 State St, Webber East Suite 221, Bangor, ME 04401-6630 | 2017-05-04 |
| 1255871240 | Courtney Lee Taylor | Nurse Practitioner | 417 State St, Webber East, Suite 421, Bangor, ME 04401-6630 | 2017-02-24 |
| 1083153977 | Tyler Munro | Physician Assistant | 417 State St, Suite 340, Bangor, ME 04401 | 2017-02-13 |
| 1457802530 | Carmen Jean Van Dusen | Nurse Practitioner | 417 State St, Suite 330, Bangor, ME 04401-6630 | 2016-10-24 |
| 1992187199 | Erin Borges | Physician Assistant | 417 State St, Webber West Suite 340, Bangor, ME 04401-6630 | 2015-06-24 |
| 1750789897 | Dahl Chase Diagnostic Services | Clinical Medical Laboratory | 417 State St, Suite 440, Bangor, ME 04401-6630 | 2014-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1124687538 | Rx Associates LLC | Pharmacy | 711 Broadway Ste 1, Bangor, ME 04401-3225 | 2019-06-10 |
| 1235233081 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 35 N Main St, Bangor, PA 18013-1912 | 2006-09-12 |
| 1104848852 | Cvs State Capital LLC | Pharmacy | 60 Longview Dr, Bangor, ME 04401-3629 | 2006-07-24 |
| 1619396876 | Penobscot Community Health Center | Pharmacy | 1012 Union St, Bangor, ME 04401 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 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 |
| 1790010098 | Winslow Rx | Pharmacy | 20 Garland Rd, Winslow, ME 04901-0600 | 2009-10-05 |
| 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.