COLONIAL PHARMACY INC


Address: 40 Dock Sq, Kennebunkport, ME 04046-6011
Phone: 2079674442

COLONIAL PHARMACY INC (NPI# 1013041557) 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) 1013041557
Entity Type Organization
Organization Name COLONIAL PHARMACY INC
Other Organization Name COLONIAL PHARMACY
Practice Address 40 Dock Sq
Kennebunkport
ME 04046-6011
Mailing Address Po Box 646
Kennebunkport
ME 04046-0646
Practice Telephone 2079674442
Practice Fax Number 2079673378
Mailing Telephone 2079674442
Mailing Fax Number 2079673378
Enumeration Date 2007-03-15
Last Update Date 2017-03-27
Authorized Official Name GARY TITO (PHARMACY MANAGER)
Authorized Official Telephone 2079674442
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 333600000X Pharmacy Suppliers
Y 3336C0003X Pharmacy
Specialization: Community/Retail Pharmacy
PH50000011 ME Suppliers

Other Provider Identifier

State Issuer Identifier Type Code
PK 2035682 01

Other Provider/Organization Names

Other Name Type Code
COLONIAL PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629285598 Colonial Pharmacy Inc Pharmacy 9920-4th Avenue, Brooklyn, NY 11209 2007-05-17
1114096450 Colonial Pharmacy Inc Pharmacy 7510 Mechanicsville Tpke, Mechanicsville, VA 23111-2144 2006-11-08
1578749941 Colonial Pharmacy Inc Pharmacy 1326 S Baldwin Ave, Arcadia, CA 91007-7512 2008-01-16

Office Location

Street Address 40 DOCK SQ
City KENNEBUNKPORT
State ME
Zip Code 04046-6011

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1174641047 Town of Kennebunkport Maine Registered Nurse 101 Main Street, Police Communications Public Health Complex, Kennebunkport, ME 04046 2007-03-27
1679600548 David Laurence Smith Specialist 283 Goose Rocks Rd, Kennebunkport, ME 04046-5102 2007-02-27
1669850376 Mark Daniel Simmons Counselor 103 Whitten Hill Rd, Kennebunkport, ME 04046-5117 2015-05-13
1477068757 Cornerstones of Maine LLC Community Based Residential Treatment Facility, Mental Illness 20 Fairfield Hill Rd, Kennebunkport, ME 04046-5222 2017-12-07
1275908204 Erika Grant Dietitian, Registered 181 Goose Rocks Rd, Kennebunkport, ME 04046-5246 2015-12-02
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Taxonomy Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City KENNEBUNKPORT
Zip Code 04046

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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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