CVS STATE CAPITAL, L.L.C. (NPI# 1588811699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588811699 |
| Entity Type | Organization |
| Organization Name | CVS STATE CAPITAL, L.L.C. |
| Other Organization Name | CVS PHARMAACY #00959 |
| Practice Address |
11 Steeple Way Wells ME 04090 |
| Mailing Address |
1 Cvs Dr Box 1075 - Pharmacy Enrollments Woonsocket RI 02895-6146 |
| Practice Telephone | 2076410860 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2011-10-07 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 157010002 | 05 | |
| NCPDP | 2008250 | 01 |
| Other Name | Type Code |
|---|---|
| CVS Pharmaacy #00959 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689807174 | Cvs State Capital, L.L.C. | Durable Medical Equipment & Medical Supplies | 384 Elm St, Biddeford, ME 04005-3012 | 2009-08-31 |
| 1962644708 | Cvs State Capital, L.L.C. | Durable Medical Equipment & Medical Supplies | 48 Portland Rd, Kennebunk, ME 04043-6631 | 2009-03-25 |
| 1003004938 | Cvs State Capital, L.L.C. | Durable Medical Equipment & Medical Supplies | 446 Sabattus St, Lewiston, ME 04240 | 2007-10-04 |
| 1376866830 | Cvs State Capital, L.L.C. | Durable Medical Equipment & Medical Supplies | 10 Middle St, Freeport, ME 04032-1531 | 2010-03-11 |
| Street Address |
11 STEEPLE WAY |
| City | WELLS |
| State | ME |
| Zip Code | 04090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891239679 | Avita Wells LLC | Alzheimer Center (Dementia Center) | 86 Sanford Road, Wells, ME 04090 | 2016-12-13 |
| 1235322561 | Gregory Evan Thibeault | Physical Therapist | 112 Sanfor Road (rt. 109), Wells Physical Therapy, Wells, ME 04090 | 2007-08-21 |
| 1962604496 | Elizabeth Marie Anderson | Physical Therapist | 57 Cranberry St, Wells, ME 04090 | 2007-06-05 |
| 1285856146 | Sandra Lee Cionni | Speech-Language Pathologist | 867 Cheney Woods Road, Wells, ME 04090 | 2007-05-02 |
| 1265651814 | Wells Ogunquit Community School District | Local Education Agency (LEA) | 1460 Post Road, Wells, ME 04090 | 2007-04-24 |
| 1164649174 | Jus Crea Andrea Giammarino | Preventive Medicine | 1239 Post Road, Wells, ME 04090 | 2007-04-19 |
| 1104902188 | Caren Klein | Social Worker | 43 Sanford Rd, Wells, ME 04090 | 2006-10-31 |
| 1184700155 | Douglas Stephen Merrill | Chiropractor | 2550 Post Road, Wells, ME 04090 | 2006-10-31 |
| 1699860270 | York Hospital Dba Coastal Ob-gyn, LLC | Obstetrics & Gynecology | 112 Sanford Road, Suite 2a, Wells, ME 04090 | 2006-10-03 |
| 1467544668 | Jeffrey T Cote | Family Medicine | 59 Mile Road, Wells, ME 04090 | 2006-09-28 |
| Find all providers in zip 04090 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| 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: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457463457 | Wells Drug Co | Pharmacy | 36 S Broadway, Wells, MN 56097-1633 | 2006-08-31 |
| 1962413476 | Wells Pharmacy Inc | Pharmacy | 647 Humboldt Ave, Wells, NV 89835-0336 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245601061 | Bedard Pharmacy, Inc. | Pharmacy | 5 Horton St, Lewiston, ME 04240-6828 | 2015-10-20 |
| 1811392921 | M Drug LLC | Pharmacy | 401 N Main St Ste A&b, Brewer, ME 04412-1873 | 2014-10-31 |
| 1164849691 | Eastport Family Pharmacy | Pharmacy | 34 Middle St, Eastport, ME 04631 | 2014-03-21 |
| 1588080337 | The Island Employee Cooperative Inc | Pharmacy | 3 Burnt Cove Rd, Stonington, ME 04681-3301 | 2014-03-17 |
| 1679812200 | Frontier Pharmacy LLC | Pharmacy | 153 Bennett Dr, Caribou, ME 04736-2024 | 2013-02-01 |
| 1568759058 | Mt Blue Drug Inc | Pharmacy | 624 Wilton Rd, Farmington, ME 04938-6138 | 2011-07-05 |
| 1417100447 | Procare Pharmacy, L.L.C. | Pharmacy | 141 Preble St, Portland, ME 04101-2440 | 2008-11-04 |
| 1811140841 | Coastal Pharmacy LLC | Pharmacy | 29 Marginal Way, Suite 4, Portland, ME 04101-1914 | 2008-11-04 |
| 1013041557 | Colonial Pharmacy Inc | Pharmacy | 40 Dock Sq, Kennebunkport, ME 04046-6011 | 2007-03-15 |
| 1528196219 | Moosehead Drug Inc. | Pharmacy | 10 Pritham Ave, Greenville, ME 04441 | 2007-03-02 |
| 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.