Organization Active NPI

Oakland Pharmacy

  • Community/Retail Pharmacy
  • Oakland, ME
National Provider Identifier
1306836283
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
OAKLAND PHARMACY
Doing business as
Oakland Pharmacy
Practice address
43 Main St
Oakland, ME 04963-4948
Phone
(207) 465-4440
Fax
(207) 465-3414
NPI assigned
Oct 24, 2005
Last updated
Sep 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Authorized official

Name
Shane Savage, RPH
Title
Owner
Phone
(207) 465-4440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

43 Main St
Oakland, ME 04963-4948

Mailing address

PO Box 36
Oakland, ME 04963-0036
Phone (207) 465-4440

Other identifiers 2

IdentifierTypeStateIssuer
2037584OtherPK
431944400MedicaidME

Other names 1

  • OAKLAND PHARMACY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100930048203 ME DME Supplier - Pharmacy 6901007921 Practice locations: Oakland, ME
O20141126001243 ME Part B Supplier - Mass Immunization (Roster Biller Only) 6901007921 Practice locations: Oakland, ME

National Provider Directory

National Provider Directory

Locations

66 Western Ave
Fairfield, ME 04937
Phone (207) 453-4365

54 Main St
Oakland, ME 04963
Phone (207) 465-4440

907 Kennedy Memorial Dr
Oakland, ME 04963
Phone (207) 465-4440

Practitioners & affiliated clinicians

Practitioners 3

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": "1130112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1306836283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049630036",
            "telephone_number": "207-465-4440",
            "fax_number": "207-465-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 MAIN ST",
            "city": "OAKLAND",
            "state": "ME",
            "postal_code": "049634948",
            "telephone_number": "207-465-4440",
            "fax_number": "207-465-3414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLAND PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-24",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-465-4440",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037584",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431944400",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OAKLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OAKLAND PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oakland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.