Active NPI
Covetrus North America, LLC
Doing business as Covetrus Maine
- Compounding Pharmacy
- Portland, ME
National Provider Identifier
1205399011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Compounding Pharmacy
- Legal business name
- COVETRUS NORTH AMERICA, LLC
- Doing business as
- Covetrus Maine
- Practice address
- 12 Mountfort St
Portland, ME 04101-4307 - Phone
- (207) 274-6035
- NPI assigned
- Apr 9, 2019
- Last updated
- Feb 27, 2023
- Organization subpart
- Yes
- Parent organization
- VFC EAST LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Summer Roper
- Title
- Licensing and Credentialing Analyst
- Phone
- (623) 340-9721
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | NU | ||
| Mail Order Pharmacy | 3336M0002X | NU | ||
| Specialty Pharmacy | 3336S0011X | NU | ||
| Compounding Pharmacy | 3336C0004X | NU | Primary |
Addresses
Primary practice location
12 Mountfort St
Portland, ME 04101-4307
Mailing address
7 Custom House St Ste 5
Portland, ME 04101-4185
Phone (888) 280-2221
Other names 1
- Covetrus Maine
National Provider Directory
National Provider Directory- Tax ID family
- Covetrus Maine
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mail Order Pharmacy
- Elizabethtown, PA
- NPI 1962161497
Locations
12 Mountfort St
Portland, ME 04101
Phone (207) 274-6035
7 Custom House St
Ste 5
Portland, ME 04101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677456000000",
"number": "1205399011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CUSTOM HOUSE ST STE 5",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014185",
"telephone_number": "888-280-2221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 MOUNTFORT ST",
"city": "PORTLAND",
"state": "ME",
"postal_code": "041014307",
"telephone_number": "207-274-6035"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COVETRUS NORTH AMERICA, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "VFC EAST LLC",
"enumeration_date": "2019-04-09",
"last_updated": "2023-02-27",
"certification_date": "2023-02-27",
"status": "A",
"authorized_official_last_name": "ROPER",
"authorized_official_first_name": "SUMMER",
"authorized_official_title_or_position": "LICENSING AND CREDENTIALING ANALYST",
"authorized_official_telephone_number": "623-340-9721"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "3336C0004X",
"taxonomy_group": "",
"desc": "Pharmacy, Compounding Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Covetrus Maine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Covetrus Maine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Portland, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.