Fish River Rural Health
Organization Active NPI Community/Retail Pharmacy · Madawaska, ME
NPI 1124817614 · NPPES record last updated Sep 5, 2025
Key facts
- NPI
- 1124817614
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- FISH RIVER RURAL HEALTH
- Practice address
- 381 Main St
Madawaska, ME 04756-1112 - Phone
- (207) 728-3979
- NPI assigned
- May 2, 2025
- Organization subpart
- Yes
- Parent organization (as reported)
- FISH RIVER RURAL HEALTH
Authorized official
- Name
- Janice Ann Collins, RPH
- Title
- Lead Pharmacist
- Phone
- (207) 728-3979
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260428000041 | ME | Part B Supplier - Mass Immunization (Roster Biller Only) | 3577531953 |
2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Eagle Lake, ME; Fort Kent, ME; Madawaska, ME |
National Provider Directory
- Tax ID family
- Fish River Rural Health
- Part of
- Fish River Rural Health
Interoperability endpoints
- https://api.platform.athenahealth.com/10077/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
Addresses
Primary practice location
381 Main St
Madawaska, ME 04756-1112
Mailing address
10 Carter St
Eagle Lake, ME 04739-3060
Phone (207) 444-5973
Other names
- Fish River Rural Health Pharmacy
Other providers in Madawaska, ME
- Robby Joel Desjardins
- Sara Louise Desrosier
- Kelsey F Dionne
- John Philip Doucette
- Edith A. Dow
- Fish River Rural Health
- Fish River Rural Health
- John L. Gonneville
- Janet Cheryl Grinis
- Carson A. Hartman
All providers in Madawaska, ME · Community/Retail Pharmacy in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.