WALTZ PHARMACY INC NPI 1689732034

NPI Information

  • NPI: 1689732034
  • Provider Name: WALTZ PHARMACY, INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Address: 167 MAIN STREET
    DAMARISCOTTA, ME
    ZIP 04543
  • Phone: (207) 563-3128

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NPI Details

WALTZ PHARMACY, INC is a community/retail pharmacy pharmacy in Damariscotta, ME. The provider is 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. WALTZ PHARMACY, INC NPI is 1689732034. The provider is registered as an organization entity type.

The provider's business location address is:

167 MAIN STREET
DAMARISCOTTA, ME
ZIP 04543-649
Phone: (207) 563-3128
Fax: (207) 563-3063

The provider's authorized official is Dean Jacobs .
The authorized official title is President and has the following contact phone number (866) 415-1954.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 11/11/2008.

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 SuppliesMAINENo
23336C0003XPharmacyCommunity/Retail PharmacyPH50000057MAINEYes

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
1003012OTHERMAINEBLUE CROSS PROVIDER ID#
20128450003MEDICARE NSC
32001624OTHERMAINENABP#
4101460006MEDICAIDMAINE

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: 11/21/2025

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