Aroostook Apothecary LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

AROOSTOOK APOTHECARY LLC

Practice address

159 Academy St
Presque Isle, ME 04769-3101

Phone

(207) 764-4424

Fax

(207) 764-4425

NPI assigned

Sep 11, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Matthew TalbotNPI 1154881183

Title

President

Phone

(207) 764-4424

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• City Drug Store Doing business as

Medicare fee-for-service enrollment

Enrolled in ME3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 1

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

• Aroostook Apothecary LLC

  • Pharmacy
  • Ashland, ME
  • NPI 1871076117

  O20181228001791, O20200729000800

  Same enrollment

Practitioners 1

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

• Matthew Talbot, PHARMD

  • Pharmacist
  • Presque Isle, ME
  • NPI 1154881183
  NPD (past) Authorized official

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1174006647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-764-4424",
            "fax_number": "207-764-4425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 ACADEMY ST",
            "city": "PRESQUE ISLE",
            "state": "ME",
            "postal_code": "047693101",
            "telephone_number": "207-764-4424",
            "fax_number": "207-764-4425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AROOSTOOK APOTHECARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-11",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "TALBOT",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-764-4424",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAINE BOARD OF PHARMACY",
            "identifier": "PH50001673",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174006647",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "City Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "City Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon I Ambrutis, MHRT-1
• Judy Ann Anderson, MSW
• Crystal Annis, PA-C
• Holly Arato, M.D.
• Aroostook Agency on Aging
• Aroostook Apothecary LLC
• Aroostook County Action Program
• Aroostook County Action Program
• Aroostook County Action Program Inc
• Aroostook County Action Program, Inc.

• All providers in Presque Isle, ME
• Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.