HEBERT REXALL PHARMACY INC (NPI# 1093889511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093889511 |
| Entity Type | Organization |
| Organization Name | HEBERT REXALL PHARMACY INC |
| Other Organization Name | HEBERT REXALL PHARMACY |
| Practice Address |
31 Main St Van Buren ME 04785-1012 |
| Mailing Address |
Po Box 220 Van Buren ME 04785-0220 |
| Practice Telephone | 2078682242 |
| Practice Fax Number | 2078682156 |
| Mailing Telephone | 2078682242 |
| Mailing Fax Number | 2078682156 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-01-21 |
| Authorized Official Name | JOHN HEBERT (OWNER/PHARMD) |
| Authorized Official Telephone | 2078682242 |
| Authorized Official Credential | PHARMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
PH50001459 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2138841 | 01 | |
| ME | 104230000 | 05 |
| Other Name | Type Code |
|---|---|
| Hebert Rexall Pharmacy | Doing Business As Name - Organization |
| Street Address |
31 MAIN ST |
| City | VAN BUREN |
| State | ME |
| Zip Code | 04785-1012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679944490 | Kristin Theriault | Social Worker | 358 Hamlin Rd, Hamlin, ME 04785 | 2015-10-20 |
| 1508188517 | Myles Peter Ouellette | Massage Therapist | 204 Champlain St, Van Buren, ME 04785 | 2010-02-17 |
| 1336380443 | Ouellette Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 162 State Street, Van Buren, ME 04785 | 2009-03-19 |
| 1114168945 | St Jude's Foster Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 123 Wright Street, Von Buren, ME 04785 | 2009-03-06 |
| 1184852022 | Bernadette Fortin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 144 High St, Van Buren, ME 04785 | 2009-06-30 |
| 1245754209 | Walgreen Co | Pharmacy | 21 Main St, Van Buren, ME 04785-1008 | 2017-08-01 |
| 1760761134 | Katie Daigle | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-08-16 |
| 1174814396 | Marion Brett Felty | Pharmacist | 21 Main St, Van Buren, ME 04785-1008 | 2011-04-21 |
| 1851462931 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 21 Main Street, Van Buren, ME 04785-1008 | 2006-11-13 |
| 1366051666 | Lindsey Desrosier | Nurse Practitioner | 4 Main St, Van Buren, ME 04785-1009 | 2020-07-23 |
| Find all providers in zip 04785 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1801885041 | Langston Drug Store, Inc. | Pharmacy | 1202 Main St, Van Buren, AR 72956-4555 | 2005-10-20 |
| 1376845412 | Trucare Pharmacy LLC | Pharmacy | 521 Main St, Van Buren, AR 72956-5109 | 2010-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679049175 | Rx Associates LLC | Pharmacy | 711 Broadway Ste 2, Bangor, ME 04401-3225 | 2018-10-23 |
| 1265832752 | Kennebec Pharmacy and Home Care LLC | Pharmacy | 11 Medical Center Pkwy Ste B, Augusta, ME 04330-8158 | 2014-09-03 |
| 1700125267 | Mvh Phamacy (external Non Va Business) | Pharmacy | 5 Community Dr Ste 1, Augusta, ME 04330-8088 | 2013-02-04 |
| 1770805434 | Mvh Pharmacy | Pharmacy | 5 Community Drive, Suite 3, Augusta, ME 04330 | 2010-02-23 |
| 1295847846 | Uni-care Health Services of Maine, LLC | Pharmacy | 39 Eisenhower Dr, Westbrook, ME 04092-2033 | 2006-08-31 |
| 1912017906 | Pharmerica East LLC | Pharmacy | 97 Mcalister Farm Rd, Portland, ME 04103 | 2006-08-30 |
| 1558372060 | Bedard Senior Care Inc | Pharmacy | 359 Minot Ave Ste C, Auburn, ME 04210-4329 | 2006-08-10 |
| 1831129857 | Omnicare Pharmacy of Maine, LLC | Pharmacy | 99 Enterprise Ave, Suite 3, Gardiner, ME 04345-6244 | 2006-07-04 |
| 1891330072 | Aroostook Apothecary LLC | Pharmacy | 159 Academy St, Presque Isle, ME 04769-3101 | 2019-11-12 |
| 1386147098 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756-1437 | 2018-03-09 |
| 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.