Fairfield Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH50001197 Issued in ME

Legal business name

FAIRFIELD PHARMACY

Practice address

66 Western Ave
Fairfield, ME 04937-1337

Phone

(207) 453-4411

Fax

(207) 453-6612

NPI assigned

Oct 18, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Shane Savage, RPHNPI 1205987526

Title

Pharmacist - Owner

Phone

(207) 453-4411

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shane G Savage, R.PH.

  • Pharmacist
  • Fairfield, ME
  • NPI 1205987526
  Authorized official Same address or phone

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1245229749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WESTERN AVE",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049371337",
            "telephone_number": "207-453-4411",
            "fax_number": "207-453-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 WESTERN AVE",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "049371337",
            "telephone_number": "207-453-4411",
            "fax_number": "207-453-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRFIELD PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-18",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PHARMACIST - OWNER",
        "authorized_official_telephone_number": "207-453-4411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PH50001197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2007715",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "413530000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ronald Allan Dyer, R.N.
• Eastern Maine Homecare (River Valley HomeCare & Hospice)
• Eastern Maine Homecare (River Valley Homecare)
• El Rancho de la Vida
• Fairfield Family Practice
• Roderick A Forrey, PA-C
• Tania Coy Gardiner Hassard, O.D.
• Jessy Matthew Garrett, PTA
• Jennifer L Giroux, OTA/L
• Tracey S Glinko, DDS

• Pharmacist in Fairfield, ME
• Providers in Fairfield, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.