SPRUCE MOUNTAIN PHARMACY INC. (NPI# 1831337088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831337088 |
| Entity Type | Organization |
| Organization Name | SPRUCE MOUNTAIN PHARMACY INC. |
| Practice Address |
148 Main St Jay ME 04239-1506 |
| Practice Telephone | 2078979080 |
| Practice Fax Number | 2078979082 |
| Mailing Telephone | 2078979080 |
| Mailing Fax Number | 2078979082 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2020-09-18 |
| Authorized Official Name | MR. STEPHEN J MAKI (PRESIDENT/PHARMACIST) |
| Authorized Official Telephone | 2076455058 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH50001356 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 433815200 | 05 |
| Street Address |
148 MAIN ST |
| City | JAY |
| State | ME |
| Zip Code | 04239-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083277933 | Stephen Maki | Pharmacy | 148 Main St, Jay, ME 04239-1506 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003479072 | Edward P Walsh | Social Worker | 1 Va Center Dr, Mhc, Augusta, ME 04239 | 2019-04-16 |
| 1801931969 | Leslie Colt Harding | Family Medicine | 12 Church Street, Jay, ME 04239 | 2007-02-20 |
| 1053594382 | Keiran Chiropractic, P.a. | Chiropractor | 259 Main Street, Jay, ME 04239-0000 | 2007-12-10 |
| 1528393238 | Smartworks Inc | Physical Therapist | 152 Main St, Jay, ME 04239-1507 | 2009-10-14 |
| 1376552125 | James Michael St. Jean | Physical Therapist | 152 Main St, Jay, ME 04239-1507 | 2006-08-07 |
| 1962621144 | Town of Jay, Jay School Department | Local Education Agency (LEA) | 12 Tiger Dr, Jay, ME 04239-1518 | 2007-04-25 |
| 1396051678 | Laura Connor | Speech-Language Pathologist | 12 Tiger Dr, Jay School Department, Jay, ME 04239-1518 | 2010-08-25 |
| 1881900371 | Melissa Plourde | Occupational Therapist | 12 Tiger Dr, Jay School Department, Jay, ME 04239-1518 | 2010-08-23 |
| 1700192341 | Lynne Ferrari | Speech-Language Pathologist | 12 Tiger Dr, Jay School Department, Jay, ME 04239-1518 | 2010-08-20 |
| 1710216510 | Crayon Country Preschool | Developmental Therapist | 455 E Jay Rd, Jay, ME 04239-4607 | 2009-12-08 |
| Find all providers in zip 04239 | ||||
| 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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|---|---|---|---|---|
| 1871896951 | Dura-med Southeast Inc | Pharmacy | 3877 Highway 4, Jay, FL 32565-1754 | 2010-12-13 |
| 1750416202 | Jay Pharmacy of Jay,fla Inc | Pharmacy | 14088 Ala St, Jay, FL 32565 | 2007-02-23 |
| 1700403854 | Equity Rx, Pllc | Pharmacy | 14088 Alabama St, Jay, FL 32565-1036 | 2020-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1124687538 | Rx Associates LLC | Pharmacy | 711 Broadway Ste 1, Bangor, ME 04401-3225 | 2019-06-10 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1871076117 | Aroostook Apothecary LLC | Pharmacy | 73 Presque Isle Road, Ashland, ME 04732 | 2018-09-12 |
| 1518481134 | Aroostook Pharmacy Inc. | Pharmacy | 182 Market St Ste 2, Fort Kent, ME 04743-1514 | 2017-07-26 |
| 1487067997 | Seaside Pharmacy | Pharmacy | 59 School Street, Stonington, ME 04681 | 2014-06-03 |
| 1609216498 | Dirigo Drug LLC | Pharmacy | 1144 Main Street, Clinton, ME 04927 | 2013-06-26 |
| 1790077477 | Bedard Pharmacy, Inc. | Pharmacy | 359 Minot Ave Ste B, Auburn, ME 04210-4329 | 2011-05-12 |
| 1255648689 | Jensen's Pharmacy | Pharmacy | 91 Camden St Ste 105, Rockland, ME 04841-2421 | 2010-09-07 |
| 1780913111 | M Drug LLC | Pharmacy | 33 Whiting Hill Rd Ste 4, Brewer, ME 04412-1022 | 2009-12-14 |
| 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.