Organization Active NPI

Carroll Drug Store Inc

  • Long Term Care Pharmacy
  • Southwest Harbor, ME
National Provider Identifier
1124854393
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
CARROLL DRUG STORE INC
Practice address
3 Village Green Way
Southwest Harbor, ME 04679-4227
Phone
(207) 244-5588
Fax
(207) 244-5718
NPI assigned
Sep 12, 2024
Last updated
Sep 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Authorized official

Name
Mr. Eric W Norberg, RPHNPI 1346319860
Title
President/Pharmacist in Charge
Phone
(207) 244-5588

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X NU Primary

Addresses

Primary practice location

3 Village Green Way
Southwest Harbor, ME 04679-4227

Mailing address

PO Box 1306
Southwest Harbor, ME 04679-1306
Phone (207) 244-5588

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1124854393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1306",
            "city": "SOUTHWEST HARBOR",
            "state": "ME",
            "postal_code": "046791306",
            "telephone_number": "207-244-5588",
            "fax_number": "207-244-5718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 VILLAGE GREEN WAY",
            "city": "SOUTHWEST HARBOR",
            "state": "ME",
            "postal_code": "046794227",
            "telephone_number": "207-244-5588",
            "fax_number": "207-244-5718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARROLL DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "NORBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT/PHARMACIST IN  CHARGE",
        "authorized_official_telephone_number": "207-244-5588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southwest Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.