Organization Active NPI

Hebert Rexall Pharmacy Inc

Doing business as Hebert Rexall Pharmacy

  • Long Term Care Pharmacy
  • Van Buren, ME
National Provider Identifier
1093889511
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
PH50001459 Issued in ME
Legal business name
HEBERT REXALL PHARMACY INC
Doing business as
Hebert Rexall Pharmacy
Practice address
31 Main St
Van Buren, ME 04785-1012
Phone
(207) 868-2242
Fax
(207) 868-2156
NPI assigned
Nov 17, 2006
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John Hebert, PHARMDNPI 1598289894
Title
Owner/Pharmd
Phone
(207) 868-2242

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Long Term Care Pharmacy 3336L0003X PH50001459 ME Primary

Addresses

Primary practice location

31 Main St
Van Buren, ME 04785-1012

Mailing address

PO Box 220
Van Buren, ME 04785-0220
Phone (207) 868-2242

Other identifiers 2

IdentifierTypeStateIssuer
2138841OtherPK
104230000MedicaidME

Other names 1

  • Hebert Rexall Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20100930012622 ME DME Supplier - PharmacyDME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Registered Pharmacist 8022135680 Practice locations: Van Buren, ME
O20140211001487 ME Part B Supplier - Pharmacy 8022135680 Practice locations: Van Buren, ME
O20220203002366 ME Part B Supplier - Independent Clinical Laboratory 8022135680 Practice locations: Van Buren, ME

National Provider Directory

National Provider Directory
Tax ID family
Hebert Rexall Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1093889511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "VAN BUREN",
            "state": "ME",
            "postal_code": "047850220",
            "telephone_number": "207-868-2242",
            "fax_number": "207-868-2156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 MAIN ST",
            "city": "VAN BUREN",
            "state": "ME",
            "postal_code": "047851012",
            "telephone_number": "207-868-2242",
            "fax_number": "207-868-2156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEBERT REXALL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-09-19",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "HEBERT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/PHARMD",
        "authorized_official_telephone_number": "207-868-2242",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "ME",
            "license": "PH50001459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138841",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104230000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hebert Rexall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hebert Rexall Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Van Buren, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.