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KENNEBEC PHARMACY AND HOME CARE LLC NPI 1265832752


NPI Information

NPI: 1265832752
Provider Name: KENNEBEC PHARMACY AND HOME CARE LLC

Doing Business As: KENNEBEC SENIOR CARE

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

Address:
14 GABRIEL DR
AUGUSTA, ME
ZIP 04330
Phone: (207) 373-3300
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KENNEBEC PHARMACY AND HOME CARE LLC is a long term care pharmacy pharmacy in Augusta, ME. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. KENNEBEC PHARMACY AND HOME CARE LLC NPI is 1265832752. The provider is registered as an organization entity type.
The provider Is Doing Business As Kennebec Senior Care.

The provider's business location address is:

14 GABRIEL DR
AUGUSTA, ME
ZIP 04330-853
Phone: (207) 373-3300
Fax: (207) 373-1401

The provider's authorized official is Steven R Royer .
The authorized official title is Vice-president Of Pharmacy Services and has the following contact phone number (207) 373-3300.

The enumeration date for this NPI number is 9/3/2014 and was last updated on 7/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336L0003XPharmacyLong Term Care PharmacyCSP50001560MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12147864OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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