NEW ALBERTSON'S INC #7557/490 (NPI# 1881961589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881961589 |
| Entity Type | Organization |
| Organization Name | NEW ALBERTSON'S INC #7557/490 |
| Other Organization Name | SHAWS OSCO PHARMACY |
| Practice Address |
175 High St Ellsworth ME 04605-1730 |
| Practice Telephone | 2076693005 |
| Practice Fax Number | 2076693013 |
| Mailing Telephone | 2076693005 |
| Mailing Fax Number | 2076693013 |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2011-11-23 |
| Authorized Official Name | MICHAEL IVAN BOUDREAU (STAFF PHARMACIST) |
| Authorized Official Telephone | 2076693005 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | Y |
| Parent Organization Name | NEW ALBERTSON'S INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PR4615 | ME | Suppliers |
| Other Name | Type Code |
|---|---|
| Shaws Osco Pharmacy | Doing Business As Name - Organization |
| Street Address |
175 HIGH ST |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-1730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700337052 | Joshua Wallen | Pharmacist | 175 High St, Ellsworth, ME 04605-1730 | 2016-10-21 |
| 1992156087 | Duane Carr | Pharmacist | 175 High St, Ellsworth, ME 04605-1730 | 2016-06-29 |
| 1508143579 | Jeffrey William Parker | Pharmacist | 175 High St, Ellsworth, ME 04605-1730 | 2011-11-04 |
| 1518244649 | Michael Boudreau | Pharmacist | 175 High St, Ellsworth, ME 04605-1730 | 2011-11-03 |
| 1568418093 | Shaws Supermarkets Inc | Durable Medical Equipment & Medical Supplies | 175 High St, Ellsworth, ME 04605 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558577023 | Raven Hill Integrated Therapies, LLC | Pharmacy | 185 State St, Suite C, Ellsworth, ME 04605-1830 | 2007-05-14 |
| 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.