Organization Active NPI

Mars Hill Pharmacy Inc

  • Community/Retail Pharmacy
  • Mars Hill, ME
National Provider Identifier
1114949112
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH50001456 Issued in ME
Legal business name
MARS HILL PHARMACY INC
Practice address
106 Main St
Mars Hill, ME 04758-1019
Phone
(207) 425-4431
Fax
(207) 425-2400
NPI assigned
Jul 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Authorized official

Name
Ashley Collins, PHARMDNPI 1518345339
Title
Vice President
Phone
(207) 425-4431

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 PH50001456 ME Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

106 Main St
Mars Hill, ME 04758-1019

Mailing address

PO Box 1019
Mars Hill, ME 04758-1019
Phone (207) 425-4431

Other identifiers 1

IdentifierTypeStateIssuer
2138195OtherPK

Other names 1

  • Mars Hill Pharmacy INC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930088228 ME DME Supplier - Pharmacy 1153447842 Practice locations: Mars Hill, ME
O20151207000390 ME Part B Supplier - Mass Immunization (Roster Biller Only) 1153447842 Practice locations: Mars Hill, ME

National Provider Directory

National Provider Directory
Tax ID family
Mars Hill Pharmacy2 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 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1114949112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1019",
            "city": "MARS HILL",
            "state": "ME",
            "postal_code": "047581019",
            "telephone_number": "207-425-4431",
            "fax_number": "207-425-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 MAIN ST",
            "city": "MARS HILL",
            "state": "ME",
            "postal_code": "047581019",
            "telephone_number": "207-425-4431",
            "fax_number": "207-425-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARS HILL PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "207-425-4431",
        "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": "ME",
            "license": "PH50001456",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138195",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mars Hill Pharmacy INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mars Hill, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; 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.