KENNEBEC PHARMACY AND HOME CARE LLC (NPI# 1841649639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841649639 |
| Entity Type | Organization |
| Organization Name | KENNEBEC PHARMACY AND HOME CARE LLC |
| Other Organization Name | KENNEBEC PHARMACY & HOME CARE |
| Practice Address |
11 Medical Center Pkwy Ste A Augusta ME 04330-8158 |
| Practice Telephone | 2076269066 |
| Practice Fax Number | 2076218016 |
| Mailing Telephone | 2076269066 |
| Mailing Fax Number | 2076218016 |
| Enumeration Date | 2016-06-13 |
| Last Update Date | 2017-11-13 |
| Authorized Official Name | JOE MCVETY (VP PHARMACY SERVICES) |
| Authorized Official Telephone | 2076262726 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | PH50001559 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2160541 | 01 |
| Other Name | Type Code |
|---|---|
| Kennebec Pharmacy & Home Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1063445625 | Kennebec Pharmacy and Home Care LLC | Durable Medical Equipment & Medical Supplies | 121 Medical Center Dr, Ste G500, Brunswick, ME 04011-2653 | 2006-07-08 |
| Street Address |
11 MEDICAL CENTER PKWY STE A |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-8158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181877 | Renewal Family Center, LLC | Community/Behavioral Health | 10 Learners Drive, Augusta, ME 04330 | 2020-10-12 |
| 1134748759 | Chelsea Simone Koch | Registered Nurse | 1 Va Center, Department of Veterans Affairs, Augusta, ME 04330 | 2020-04-14 |
| 1790238442 | Nicole Lacrosse | Behavioral Analyst | 53 Hayden Rd, Augusta, ME 04330 | 2016-07-29 |
| 1093176844 | Richard J. Larrabee | Counselor | 312 Townhouse Road, Chelsea, ME 04330 | 2016-03-08 |
| 1376910984 | Sarah C. A. Tatlock | Social Worker | 41 Anthony Ave, Augusta, ME 04330 | 2015-08-31 |
| 1457728180 | Va Maine Health | General Acute Care Hospital | 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 | 2015-08-28 |
| 1043696842 | Megan Arsenault | Pharmacist | 403 Water Street, Augusta, ME 04330 | 2015-08-04 |
| 1205219987 | Trevor Holbert | Audiologist | 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 | 2015-06-30 |
| 1659787836 | Hannah M. Pullen | Occupational Therapy Assistant | 12 Shuman Ave Ste 16, Augusta, ME 04330 | 2014-07-08 |
| 1831469899 | Tanya Bernadette Quarterman | Specialist | 153 Hospital St Ste 13, Augusta, ME 04330 | 2012-01-09 |
| Find all providers in zip 04330 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487901476 | Au Medical Center, Inc. | Pharmacy | 1120 15th St # Bt1964, Augusta, GA 30912-0004 | 2012-08-08 |
| 1285924431 | T&j Enterprise LLC | Pharmacy | 1630 Ohio St, Augusta, KS 67010-2142 | 2011-04-08 |
| 1114012119 | Summerville Pharmacy | Pharmacy | 3087 Westwood Rd, Hani Mussad, Augusta, GA 30909 | 2006-10-04 |
| 1992800908 | Asklers Augusta Pharmacy N More Inc | Pharmacy | 108 South Webster, Augusta, MI 49012 | 2006-09-14 |
| 1861504706 | Maxwell House Pharmacy LLC | Pharmacy | 1002 Greene St, Augusta, GA 30901-2251 | 2006-08-31 |
| 1376558916 | Terese Inc | Pharmacy | 2529 Peach Orchard Rd, Augusta, GA 30906-2412 | 2006-07-30 |
| 1841222874 | Freds Stores of Tennessee Inc | Pharmacy | 1302 Highway 64 E, Augusta, AR 72006-9411 | 2006-07-07 |
| 1497791305 | Summerville Pharmacy Inc | Pharmacy | 2839 Central Ave, Augusta, GA 30909-3904 | 2006-06-20 |
| 1316987738 | Publix Super Markets Inc | Pharmacy | 2816 Washington Rd, Augusta, GA 30909-2199 | 2006-06-07 |
| 1881227601 | Janus Rx LLC | Pharmacy | 1721 Wrightsboro Rd, Augusta, GA 30904-4074 | 2020-02-20 |
| Find all providers in AUGUSTA | ||||
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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.