M DRUG LLC (NPI# 1952856759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952856759 |
| Entity Type | Organization |
| Organization Name | M DRUG LLC |
| Other Organization Name | NORTHERN LIGHT PHARMACY FORE RIVER |
| Practice Address |
195 Fore River Pkwy Ste 170 Portland ME 04102-2782 |
| Mailing Address |
Po Box 1779 Bangor ME 04402-1779 |
| Practice Telephone | 2075351600 |
| Practice Fax Number | 2075351610 |
| Mailing Telephone | 2072753216 |
| Mailing Fax Number | 2075614804 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | MATTHEW J MARSTON (DIRECTOR OF PHARMACY) |
| Authorized Official Telephone | 2072753239 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH50001645 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2164242 | 01 | |
| ME | 1952856759 | 05 |
| Other Name | Type Code |
|---|---|
| Miller Drug Fore River | Doing Business As Name - Organization |
| NORTHERN LIGHT PHARMACY FORE RIVER | 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 |
| 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 |
| 1720394984 | M Drug LLC | Durable Medical Equipment & Medical Supplies | 417 State St, Suite 130, Bangor, ME 04401-6630 | 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 |
195 FORE RIVER PKWY STE 170 |
| City | PORTLAND |
| State | ME |
| Zip Code | 04102-2782 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629301247 | Mary J Leblanc | Pharmacist | 195 Fore River Pkwy Ste 170, Portland, ME 04102-2782 | 2009-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602964 | Ci Yen Joanna Man | Student in an Organized Health Care Education/Training Program | 190 Park Ave., Portland, ME 04102 | 2020-06-03 |
| 1841811338 | Abby Zarotny Sahagian | Nurse Anesthetist, Certified Registered | Mmc Anesthesia and Perioperative Medicine, 22 Bramhall St, Portland, ME 04102 | 2020-05-06 |
| 1124656863 | Zachary Bernard Tillett | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall St., Portland, ME 04102 | 2020-03-30 |
| 1215564323 | Joshua Allen Swenson | Student in an Organized Health Care Education/Training Program | 33 Bramhall St, Portland, ME 04102 | 2020-03-26 |
| 1740776434 | Rishi Phakey | Dentist | Community Dental, 190 Park Ave, Portland, ME 04102 | 2018-07-05 |
| 1982192571 | Jessica Thomas | Doula | 619 Brighton Ave #101, Rosemont Wellness Center, Portland, ME 04102 | 2018-04-29 |
| 1699270744 | Shane D Kirkegaard | Student in an Organized Health Care Education/Training Program | Maine Medical Center 22 Bramhall Street, Portland, ME 04102 | 2018-03-29 |
| 1144752494 | Al-shawk Home Healthcare, LLC | Technician | 640 Brighton Ave Ste 8, Portland, ME 04102 | 2017-03-28 |
| 1376074674 | Samuel B Potter | Emergency Medicine | Maine Medical Center, 22 Bramhall Street, Portland, ME 04102 | 2017-03-27 |
| 1043767536 | Kevin De Ruiter | Social Worker | 129 Pine St Apt 6, Portland, ME 04102 | 2016-09-01 |
| Find all providers in zip 04102 | ||||
| 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] |
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| 1649800186 | A & S Pharmacy LLC | Pharmacy | 1660 Wildcat Dr, Portland, TX 78374-2830 | 2020-01-23 |
| 1508337577 | Oregon Health & Science University | Pharmacy | 3303 Sw Bond Ave Rm 1090, Portland, OR 97239-4501 | 2018-12-17 |
| 1578049631 | Credena Health LLC | Pharmacy | 4805 Ne Glisan St Ste 11n321, Portland, OR 97213 | 2018-07-12 |
| 1538653654 | Division Pharmacy Inc. | Pharmacy | 10918 Se Division St, Portland, OR 97266-1259 | 2018-06-21 |
| 1659755593 | Portland Professional Pharmacy, LLC | Pharmacy | 11717 Ne Glisan St, Portland, OR 97220-2141 | 2015-07-09 |
| 1992194062 | Professionl Pharmacy | Pharmacy | 10000 Se Main St Ste 201, Portland, OR 97216-2448 | 2015-01-13 |
| 1932597978 | Pharmaca Integrative Pharmacy, Inc | Pharmacy | 240 Nw Lost Springs Terrace, Suite 36, Portland, OR 97229 | 2014-12-29 |
| Find all providers in PORTLAND | ||||
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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.