Organization Active NPI

Nathan's Wellness Pharmacy and Apothecary

  • Long Term Care Pharmacy
  • Boothbay Harbor, ME
National Provider Identifier
1265271779
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
NATHAN'S WELLNESS PHARMACY AND APOTHECARY
Practice address
185 Townsend Ave Ste C
Boothbay Harbor, ME 04538-1895
Phone
(207) 315-2280
Fax
(207) 315-2279
NPI assigned
May 23, 2024
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
NATHAN'S WELLNESS PHARMACY & APOTHECARYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Dr. Andrew Kevin Robertson, PHARMDNPI 1346553088
Title
Pharmacy Manager/ President
Phone
(207) 315-2280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

185 Townsend Ave Ste C
Boothbay Harbor, ME 04538-1895

Mailing address

185 Townsend Ave Ste C
Boothbay Harbor, ME 04538-1895
Phone (207) 315-2280

National Provider Directory

National Provider Directory
Tax ID family
Nathans Wellness Pharmacy and Apothecary2 organizations share this tax ID, including this one
Part of
Nathans Wellness Pharmacy and Apothecary

Other organizations with this tax ID 1

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

Locations

185 Townsend Ave
Ste C
Boothbay Harbor, ME 04538
Phone (207) 315-2280

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1265271779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 TOWNSEND AVE STE C",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381895",
            "telephone_number": "207-315-2280",
            "fax_number": "207-315-2279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 TOWNSEND AVE STE C",
            "city": "BOOTHBAY HARBOR",
            "state": "ME",
            "postal_code": "045381895",
            "telephone_number": "207-315-2280",
            "fax_number": "207-315-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATHAN'S WELLNESS PHARMACY AND APOTHECARY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NATHAN'S WELLNESS  PHARMACY & APOTHECARY",
        "enumeration_date": "2024-05-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "ROBERTSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "KEVIN",
        "authorized_official_title_or_position": "PHARMACY MANAGER/ PRESIDENT",
        "authorized_official_telephone_number": "207-315-2280",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boothbay Harbor, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.