NPIMap

Organization Active NPI

University of Maine System Inc

  • Community/Retail Pharmacy
  • Orono, ME
National Provider Identifier
1104923028
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH50000229 Issued in ME
Legal business name
UNIVERSITY OF MAINE SYSTEM INC
Practice address
5721 Long Rd
Orono, ME 04469-5721
Phone
(207) 581-4007
Fax
(207) 581-4013
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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

Authorized official

Name
Kelly Estremera, RPH
Title
Pharmacy Coordinator Manager
Phone
(207) 581-4007

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Clinic Pharmacy 3336C0002X
Community/Retail Pharmacy 3336C0003X PH50000229 ME Primary

Addresses

Primary practice location

5721 Long Rd
Orono, ME 04469-5721

Mailing address

5721 Long Rd
Orono, ME 04469-5721
Phone (207) 581-4007

Other identifiers 1

IdentifierTypeStateIssuer
2006509OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CUTLER STUDENT HEALTH CENTER PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
University of Maine7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

5721 Long Rd
Orono, ME 04469
Phone (207) 581-4000

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253836800000",
    "number": "1104923028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5721 LONG RD",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044695721",
            "telephone_number": "207-581-4007",
            "fax_number": "207-581-4013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5721 LONG RD",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044695721",
            "telephone_number": "207-581-4007",
            "fax_number": "207-581-4013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MAINE SYSTEM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2009-09-25",
        "status": "A",
        "authorized_official_last_name": "ESTREMERA",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PHARMACY COORDINATOR MANAGER",
        "authorized_official_telephone_number": "207-581-4007",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50000229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2006509",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CUTLER STUDENT HEALTH CENTER PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orono, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.