GUARDIAN PHARMACY OF MAINE, LLC (NPI# 1871672469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871672469 |
| Entity Type | Organization |
| Organization Name | GUARDIAN PHARMACY OF MAINE, LLC |
| Other Organization Name | WALTZ LONG TERM CARE PHARMACY |
| Practice Address |
3 Business Pkwy Suite 2 Brunswick ME 04011-7390 |
| Mailing Address |
Guardian Pharmacy of Maine Dept 2374 P.o. Box 11407 Birmingham AL 35246-2374 |
| Practice Telephone | 2073739077 |
| Practice Fax Number | 2073739088 |
| Mailing Telephone | 4048100089 |
| Mailing Fax Number | 4048100094 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-02-13 |
| Authorized Official Name | COURTNEY OLAND (PRESIDENT) |
| Authorized Official Telephone | 2073739077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
CSP50001564 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1871672469 | 05 | |
| ME | MEDICARE- MASS IMMUNIZATION | E100200569 | 01 |
| ME | NABP# | 2007537 | 01 |
| NH | 3099413 | 05 | |
| ME | PHARMACY LICENSE | CSP50001564 | 01 |
| Other Name | Type Code |
|---|---|
| WALTZ LONG TERM CARE PHARMACY | Doing Business As Name - Organization |
| Street Address |
3 BUSINESS PKWY SUITE 2 |
| City | BRUNSWICK |
| State | ME |
| Zip Code | 04011-7390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366807695 | Guardian Pharmacy of Maine LLC | Nursing Facility/Intermediate Care Facility | 3 Business Pkwy, Suite 2, Brunswick, ME 04011-7390 | 2015-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093276370 | Convenientmd LLC | Clinic/Center | 193 Bath Road, Brunswick, ME 04011 | 2019-03-28 |
| 1326571241 | Psychology Specialists of Maine | Psychologist | 14 Maine St., Suite 309, Brunswick, ME 04011 | 2017-04-07 |
| 1992249775 | Avita Brunswick LLC | Alzheimer Center (Dementia Center) | 89 Admiral Fitch Way, Brunswick, ME 04011 | 2016-12-13 |
| 1215303433 | Mary K Kunhardt | Social Worker | 116 Maquoit Rd, Brunswick, ME 04011 | 2015-08-12 |
| 1861803843 | Gretchen Jane Stevens | Counselor | 136 Maine Street, Suite #6, Brunswick, ME 04011 | 2014-05-13 |
| 1356764567 | Kid Function, Inc. | Clinic/Center | 225 Thomas Point Road, Brunswick, ME 04011 | 2014-01-23 |
| 1356788921 | Jacques M. Reynolds | Psychiatry & Neurology | 81 Medical Center Dr # 2400, Brunswick, ME 04011 | 2013-05-23 |
| 1922369891 | Charles Russell Thorp | Pharmacist | 147 Bath Rd, Rtes 1 and 24, Merry Meeting Plaza, Brunswick, ME 04011 | 2012-06-06 |
| 1992076111 | Benjamin C. Tyau | Physician Assistant | 193 Bath Rd, Brunswick, ME 04011 | 2012-01-19 |
| 1841575339 | Bluesage Therapies Inc. | Social Worker | 214 Raymond Road, Brunswick, ME 04011 | 2011-10-15 |
| Find all providers in zip 04011 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376793026 | Coastal Pharmacare Inc | Pharmacy | 220 Bythe Island Connector, Brunswick, GA 31520 | 2008-09-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679049175 | Rx Associates LLC | Pharmacy | 711 Broadway Ste 2, Bangor, ME 04401-3225 | 2018-10-23 |
| 1265832752 | Kennebec Pharmacy and Home Care LLC | Pharmacy | 11 Medical Center Pkwy Ste B, Augusta, ME 04330-8158 | 2014-09-03 |
| 1700125267 | Mvh Phamacy (external Non Va Business) | Pharmacy | 5 Community Dr Ste 1, Augusta, ME 04330-8088 | 2013-02-04 |
| 1770805434 | Mvh Pharmacy | Pharmacy | 5 Community Drive, Suite 3, Augusta, ME 04330 | 2010-02-23 |
| 1295847846 | Uni-care Health Services of Maine, LLC | Pharmacy | 39 Eisenhower Dr, Westbrook, ME 04092-2033 | 2006-08-31 |
| 1912017906 | Pharmerica East LLC | Pharmacy | 97 Mcalister Farm Rd, Portland, ME 04103 | 2006-08-30 |
| 1558372060 | Bedard Senior Care Inc | Pharmacy | 359 Minot Ave Ste C, Auburn, ME 04210-4329 | 2006-08-10 |
| 1831129857 | Omnicare Pharmacy of Maine, LLC | Pharmacy | 99 Enterprise Ave, Suite 3, Gardiner, ME 04345-6244 | 2006-07-04 |
| 1891330072 | Aroostook Apothecary LLC | Pharmacy | 159 Academy St, Presque Isle, ME 04769-3101 | 2019-11-12 |
| 1386147098 | Northern Maine Medical Center | Pharmacy | 104 Main St, Madawaska, ME 04756-1437 | 2018-03-09 |
| 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.