KENNEBEC PHARMACY AND HOME CARE LLC (NPI# 1710992342) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710992342 |
| Entity Type | Organization |
| Organization Name | KENNEBEC PHARMACY AND HOME CARE LLC |
| Other Organization Name | KENNEBEC PHARMACY & HOME CARE |
| Practice Address |
839 Commercial St Rockport ME 04856-4243 |
| Mailing Address |
43 Leighton Rd Augusta ME 04330-7705 |
| Practice Telephone | 2075940888 |
| Practice Fax Number | 2075940889 |
| Mailing Telephone | 2076262726 |
| Mailing Fax Number | 2076268163 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2019-01-22 |
| Authorized Official Name | 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 | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH50001248 | ME | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2037593 | 01 | |
| ME | 129010002 | 05 |
| Other Name | Type Code |
|---|---|
| KENNEBEC PHARMACY & HOME CARE | Doing Business As Name - Organization |
| 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 |
| 1487668927 | Kennebec Pharmacy and Home Care LLC | Pharmacy | 43 Leighton Rd, Augusta, ME 04330-7705 | 2006-07-28 |
| 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 |
839 COMMERCIAL ST |
| City | ROCKPORT |
| State | ME |
| Zip Code | 04856-4243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171585 | Lisa Manley | Physical Therapist | 6 Glen Cove Drive, Pbmc, Rockport, Me, ME 04856 | 2018-07-25 |
| 1871096834 | Brenda K Berry | Registered Nurse | 731 Commercial Street, Rockport, ME 04856 | 2018-03-15 |
| 1174908495 | Atlantic Behavior Services, Inc | Behavioral Analyst | 112 Union Street, Rockport, ME 04856 | 2015-07-28 |
| 1326451212 | Abigail Bernett Ryan | Clinical Neuropsychologist | 220 Union St, Rockport, ME 04856 | 2014-06-09 |
| 1790024438 | Michelle Gallant | Dental Hygienist | 37 Chickawaukie Pond Rd, Rockport, ME 04856 | 2013-01-31 |
| 1316221666 | Nancy K Alexander | Advanced Practice Midwife | 3 Glen Cove Dr Ste 1, Rockport, ME 04856 | 2011-10-05 |
| 1619283793 | Karen Canfield | Social Worker | 41 Forsest St, Rockport, ME 04856 | 2010-08-26 |
| 1518283530 | Kendra Emery | Family Medicine | 7 Madelyn Ln Ste 200, Rockport, ME 04856 | 2010-04-15 |
| 1598999369 | Patricia L. Kristiansen | Occupational Therapy Assistant | 6 Madelyn Lane, Rockport, ME 04856 | 2009-05-08 |
| 1801020797 | Tiffany Ann Darge | Dental Hygienist | 1060 Commercial St., Rockport, ME 04856 | 2009-05-07 |
| Find all providers in zip 04856 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682279 | Aransas Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1521 W Market St Ste E, Rockport, TX 78382-6221 | 2019-11-04 |
| 1851808927 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 731 Commercial St Ste 2, Rockport, ME 04856-4254 | 2018-01-10 |
| 1295128916 | Powell Fire & Safety | Durable Medical Equipment & Medical Supplies | 1121 W Market St, Rockport, TX 78382-6207 | 2015-03-05 |
| 1144646662 | Roselyn Apostol | Durable Medical Equipment & Medical Supplies | 2106 W Market St, Rockport, TX 78382-7312 | 2014-03-07 |
| 1053585992 | Prorehab Inc | Durable Medical Equipment & Medical Supplies | 2827 W State Road 66, Suite B, Rockport, IN 47635-9167 | 2008-04-22 |
| 1265593248 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 2205 Highway 35 N, Rockport, TX 78382-3325 | 2006-12-13 |
| 1902811086 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1309 Highway 35 N, Rockport, TX 78382-3342 | 2006-07-29 |
| 1720005903 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 2401 Highway 35 N, Rockport, TX 78382-5704 | 2006-07-16 |
| 1578088621 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 33 Whistlestop Mall, Rockport, MA 01966-1437 | 2017-08-10 |
| 1851745558 | Rockport Physical Medicine Pa | Durable Medical Equipment & Medical Supplies | 2011 Highway 35 N, Rockport, TX 78382-3302 | 2016-04-19 |
| Find all providers in ROCKPORT | ||||
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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.