Active NPI
Mars Hill Pharmacy Inc
- Community/Retail Pharmacy
- Mars Hill, ME
National Provider Identifier
1114949112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH50001456
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ashley Collins, PHARMD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138195 | Other | PK |
Other names 1
- Mars Hill Pharmacy INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Long Term Care Pharmacy
- Mars Hill, ME
- NPI 1083327696
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Mars Hill, ME
- NPI 1518345339
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.