Nathan's Wellness Pharmacy and Apothecary

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

NATHAN'S WELLNESS PHARMACY AND APOTHECARY

Doing business as

Nathan's Pharmacy

Practice address

185 Townsend Ave
Boothbay Harbor, ME 04538-1894

Phone

(207) 390-0485

Fax

(855) 696-8399

NPI assigned

Oct 26, 2018

Organization subpart

No

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

Authorized official

Name

Andrew Kevin Robertson, PHARM.D.NPI 1346553088

Title

President

Phone

(207) 390-0485

Specialties & licenses 1

Addresses

Other names 1

• Nathan's Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Tax ID family

Nathans Wellness Pharmacy and Apothecary2 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.

• Nathan's Wellness Pharmacy and Apothecary

  • Long Term Care Pharmacy
  • Boothbay Harbor, ME
  • NPI 1265271779
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nathan's Wellness Pharmacy and Apothecary

  • Long Term Care Pharmacy
  • Boothbay Harbor, ME
  • NPI 1265271779
  NPPES parent name

Practitioners 2

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

• Andrew Kevin Robertson, PHARM.D.

  • Pharmacist
  • Damariscotta, ME
  • NPI 1346553088
  NPD Authorized official
• James King, PHARMD

  • Pharmacist
  • Boothbay Harbor, ME
  • NPI 1801568381
  NPD (past)

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1235606377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 GLEASON ST APT 1",
            "city": "THOMASTON",
            "state": "ME",
            "postal_code": "048613458",
            "telephone_number": "207-390-0485",
            "fax_number": "855-696-8399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TOWNSEND AVE",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381894",
            "telephone_number": "207-390-0485",
            "fax_number": "855-696-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN'S WELLNESS PHARMACY AND APOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-390-0485",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nathan's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shingayi N Molai
• Elsie M Morgan, PHARMD
• Rachel Munnett, DPT
• Thomas P. Nadeau, O.D.
• Nancy J. Oliphant MD PA
• Nathan's Wellness Pharmacy and Apothecary
• Heather Elizabeth Power, MSOTR/L
• Richard Russell Powis, RPH
• Bonnie L. Rademacher-Flis, CNP
• Melody Lisa Rees, FNP

• Community/Retail Pharmacy in Boothbay Harbor, ME
• Providers in Boothbay Harbor, 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 Oct 26, 2018; 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.