Provider Type Icon

KENNEBEC PHARMACY AND HOME CARE LLC NPI 1710992342


NPI Information

NPI: 1710992342
Provider Name: KENNEBEC PHARMACY AND HOME CARE LLC

Doing Business As: KENNEBEC PHARMACY & HOME CARE

Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 20D2197000

Address:
839 COMMERCIAL ST
ROCKPORT, ME
ZIP 04856
Phone: (207) 594-0888
Get Directions

KENNEBEC PHARMACY AND HOME CARE LLC is a durable medical equipment medical supplies in Rockport, ME. The provider is 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. KENNEBEC PHARMACY AND HOME CARE LLC NPI is 1710992342. The provider is registered as an organization entity type.
The provider Is Doing Business As Kennebec Pharmacy & Home Care.

The provider's business location address is:

839 COMMERCIAL ST
ROCKPORT, ME
ZIP 04856-243
Phone: (207) 594-0888
Fax: (207) 594-0889

The provider's authorized official is Joseph Mcvety .
The authorized official title is General Manager and has the following contact phone number (207) 626-2726.

The CLIA number assigned to this NPI record is 20D2197000 - prison with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/30/2006 and was last updated on 1/22/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes
2333600000XPharmacyNo
33336C0003XPharmacyCommunity/Retail PharmacyPH50001248MAINENo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12037593OTHERPK
2129010002MEDICAIDMAINE

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.