Organization Active NPI

Covetrus North America, LLC

Doing business as Covetrus Maine

  • Compounding Pharmacy
  • Portland, ME
National Provider Identifier
1205399011
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
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, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
VFC EAST LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Covetrus Maine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.