Active NPI
Oakland Pharmacy
- Community/Retail Pharmacy
- Oakland, ME
National Provider Identifier
1306836283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2037584 | Other | PK | |
| 431944400 | Medicaid | ME |
Other names 1
- OAKLAND PHARMACY
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Pharmacist
- Oakland, ME
- NPI 1932932654
-
- Pharmacist
- Oakland, ME
- NPI 1831848019
-
- Pharmacist
- Wilson, NY
- NPI 1285957332
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.