KENNEBEC PHARMACY AND HOME CARE LLC (NPI# 1487668927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487668927 |
| Entity Type | Organization |
| Organization Name | KENNEBEC PHARMACY AND HOME CARE LLC |
| Practice Address |
43 Leighton Rd Augusta ME 04330-7705 |
| Practice Telephone | 2076262726 |
| Practice Fax Number | 2076268163 |
| Mailing Telephone | 2076262726 |
| Mailing Fax Number | 2076268163 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2017-11-13 |
| Authorized Official Name | MR. JOSEPH MCVETY (GENERAL MANAGER) |
| Authorized Official Telephone | 2076262726 |
| Authorized Official Credential | RPH, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
========= | ME | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | ========= | ME | Suppliers |
| N | 251F00000X | Home Infusion | ========= | ME | Agencies |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | ========= | ME | Suppliers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
========= | ME | Suppliers |
| N | 333600000X | Pharmacy | ========= | ME | Suppliers |
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
========= | ME | Suppliers |
| N | 3336H0001X |
Pharmacy Specialization: Home Infusion Therapy Pharmacy |
========= | ME | Suppliers |
| Y | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
========= | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | ANTHEM DME | 040456 | 01 |
| ME | HARVARD PILGRIM | 702221 | 01 |
| ME | ANTHEM HOME INFUSION | 017768 | 01 |
| ME | DEA | BK4490277 | 01 |
| ME | 129010001 | 05 | |
| ME | 129010002 | 05 | |
| ME | AETNA HOME INFUSION | 2173534 | 01 |
| ME | NABP | 2006294 | 01 |
| ME | AETNA DME | 2354823 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841649639 | Kennebec Pharmacy and Home Care LLC | Durable Medical Equipment & Medical Supplies | 11 Medical Center Pkwy Ste A, Augusta, ME 04330-8158 | 2016-06-13 |
| 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 |
| 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 |
43 LEIGHTON RD |
| City | AUGUSTA |
| State | ME |
| Zip Code | 04330-7705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578877734 | Stephen Hachey | Pharmacist | 43 Leighton Rd, Augusta, ME 04330-7705 | 2010-07-29 |
| 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 | 332BP3500X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Parenteral & Enteral Nutrition |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326057068 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 100 Mount Battie St, Camden, ME 04843-1552 | 2006-08-05 |
| 1730197534 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 100 Dowd Rd, Bangor, ME 04401-6747 | 2006-08-04 |
| 1710249008 | Apria Healthcare LLC | Durable Medical Equipment & Medical Supplies | 125 John Roberts Rd, Ste 19a & 20, South Portland, ME 04106-3295 | 2012-06-12 |
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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.