Eastport Family Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50001563 Issued in ME

Legal business name

EASTPORT FAMILY PHARMACY

Doing business as

Eastport Family Pharmacy

Practice address

34 Middle St
Eastport, ME 04631

Phone

(207) 853-9200

Fax

(207) 853-4002

NPI assigned

Mar 21, 2014

Organization subpart

No

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

Authorized official

Name

Benjamin Okafor, PHARMDNPI 1750557468

Title

Pharmacy Manager

Phone

(207) 299-8889

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Eastport Family Pharmacy Doing business as

Locations

Practitioners 2

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

• Benjamin C Okafor, BPHARM

  • Pharmacist
  • Guilford, ME
  • NPI 1750557468
  NPD Authorized official
• Ihezie S Obi, PHARMD

  • Pharmacist
  • Eastport, ME
  • NPI 1174286561
  NPD (past)

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683158400000",
    "number": "1164849691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 MIDDLE STREET",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "04631",
            "telephone_number": "207-853-9200",
            "fax_number": "207-853-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 MIDDLE ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "04631",
            "telephone_number": "207-853-9200",
            "fax_number": "207-853-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTPORT FAMILY PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "PHARMACY MANAGER",
        "authorized_official_telephone_number": "207-299-8889",
        "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": "PH50001563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2144883",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164849691",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastport Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eastport Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennysville School Department
• Kathi M Dimiceli, LCSW
• Jennifer Joy Doucette, PMHNP
• Susan Marie Drew, RDH
• Kathleen M Dunbar, RDH
• Eastport Health Care, Inc.
• Eastport Memorial Hospital
• Eastport School Department
• Abhay Arun Ektare
• Kendall Community Case Management Agency

• Community/Retail Pharmacy in Eastport, ME
• Providers in Eastport, 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 May 4, 2023; 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.