RX Associates LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

RX ASSOCIATES LLC

Doing business as

Bangor Drug Company

Practice address

711 Broadway Ste 1
Bangor, ME 04401-3225

Phone

(207) 922-3849

Fax

(207) 945-6226

NPI assigned

Jun 10, 2019

Organization subpart

No

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

Authorized official

Name

Charles J Ouellette, RPHNPI 1154621696

Title

Owner/Member

Phone

(207) 834-2880

Specialties & licenses 1

Addresses

Other names 1

• Bangor Drug Company Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• RX Associates LLC

  • Long Term Care Pharmacy
  • Bangor, ME
  • NPI 1679049175

  O20200728000242

  Same enrollment

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• RX Associates LLC

  • Long Term Care Pharmacy
  • Bangor, ME
  • NPI 1679049175
  NPPES parent name

Practitioners 1

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

• Charles J Ouellette, RPH

  • Pharmacist
  • Fort Kent, ME
  • NPI 1154621696
  NPD Authorized official

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1124687538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047430189",
            "telephone_number": "207-834-2880",
            "fax_number": "207-834-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BROADWAY STE 1",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013225",
            "telephone_number": "207-922-3849",
            "fax_number": "207-945-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "207-834-2880",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bangor Drug Company",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bangor Drug Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Russell, LCSW
• Joshua Russell
• Rosalie (Lee) A Russell, NCC, LCPC
• Susan M. Russell, LCPC
• Christine Louise Rutlen
• RX Associates LLC
• Deborah S Ryan, MD
• John Patrick Ryan, ATC
• David James Rydell, DO
• Rosa Maria Ryder, ADCA

• Community/Retail Pharmacy in Bangor, ME
• Providers in Bangor, ME by specialty
• Community/Retail Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; 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.