MOOSEHEAD DRUG INC. (NPI# 1528196219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528196219 |
| Entity Type | Organization |
| Organization Name | MOOSEHEAD DRUG INC. |
| Other Organization Name | HARRIS DRUG |
| Practice Address |
10 Pritham Ave Greenville ME 04441 |
| Mailing Address |
Po Box 530 Greenville ME 04441-0530 |
| Practice Telephone | 2076952921 |
| Practice Fax Number | 2076953449 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2017-02-21 |
| Authorized Official Name | MICHAEL HARRIS (PHARMACY MANAGER) |
| Authorized Official Telephone | 2076952921 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH50000224 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 10288603 | 05 | |
| PK | 2035835 | 01 |
| Other Name | Type Code |
|---|---|
| HARRIS DRUG | Doing Business As Name - Organization |
| Street Address |
10 PRITHAM AVE |
| City | GREENVILLE |
| State | ME |
| Zip Code | 04441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104396167 | Michael Harris | Pharmacist | 10 Pritham Ave, Greenville, ME 04441 | 2018-12-03 |
| 1386012953 | Megan Jennison | Pharmacist | 10 Pritham Ave, Greenville, ME 04441-3030 | 2015-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679792022 | Town of Greenville | Day Training, Developmentally Disabled Services | 100 Pritham Ave., Greenville, ME 04441 | 2007-04-24 |
| 1104834977 | Eastern Maine Healthcare Systems | Medicare Defined Swing Bed Unit | 364 Pritham Avenue, Greenville, ME 04441 | 2006-08-04 |
| 1629350954 | Dorothy Bennett | Speech-Language Pathologist | 144 Pritham Avenue, Greenville, ME 04441 | 2011-09-13 |
| 1942516158 | Martha Pfirman | Speech-Language Pathologist | 364 Pritham Ave, Greenville, ME 04441 | 2010-08-25 |
| 1992011340 | Angie Madore | Occupational Therapist | 364 Pritham Ave, Greenville, ME 04441 | 2010-08-24 |
| 1659687028 | Karen Glavin | Physical Therapist | 364 Pritham Ave, Greenville, ME 04441 | 2010-08-24 |
| 1134354228 | Charles A Dean Memorial Hospital & Nursing Home | Skilled Nursing Facility | 364 Pritham Avenue, Greenville, ME 04441 | 2009-05-19 |
| 1174743090 | Town of Beaver Cove | Local Education Agency (LEA) | 100 Pritham Ave., Greenville, ME 04441 | 2007-04-26 |
| 1548368699 | Lawrence Dubien | Family Medicine | 364 Pritham Avenue, Greenville, ME 04441 | 2006-09-20 |
| 1265441323 | Eastern Maine Healthcare Systems | Clinic/Center | 364 Pritham Ave, Greenville, ME 04441 | 2006-08-07 |
| Find all providers in zip 04441 | ||||
| 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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| 1285198283 | Pitt County Memorial Hospital Inc | Pharmacy | 2100 Stantonsburg Rd Rm 1ph-160, Greenville, NC 27834-2818 | 2019-01-24 |
| 1346713658 | Europa Enterprise LLC | Pharmacy | 2394 W Interstate 30 Ste A, Greenville, TX 75402 | 2019-01-09 |
| 1982173126 | Levee Drugs Inc | Pharmacy | 202 E Starling St # 1, Greenville, MS 38701-4707 | 2018-11-16 |
| 1326522376 | Piney Mountain Rx LLC | Pharmacy | 2498 North Pleasantburg Drive, Suite A, Greenville, SC 29609 | 2018-09-17 |
| 1184127102 | Snyder Partners, LLC | Pharmacy | 4000 Wesley St Ste G, Greenville, TX 75401-9015 | 2018-03-15 |
| 1508382839 | Mrvm LLC | Pharmacy | 1701 Augusta St, Greenville, SC 29605-2925 | 2017-08-18 |
| 1992228902 | Walgreen Co | Pharmacy | 2616 Anderson Rd, Greenville, SC 29611-6020 | 2017-07-21 |
| 1659739118 | Meiya LLC | Pharmacy | 543 Haywood Rd Ste 4, Greenville, SC 29607-2710 | 2016-01-29 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 04441 |
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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.