Organization Active NPI

Brunswick Medical Center Pharmacy at Senior Health Center, Inc.

  • Pharmacist
  • Brunswick, ME
National Provider Identifier
1336180223
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PR3715 Issued in ME
Legal business name
BRUNSWICK MEDICAL CENTER PHARMACY AT SENIOR HEALTH CENTER, INC.
Practice address
56 Baribeau Dr
Brunswick, ME 04011-3251
Phone
(207) 725-8100
Fax
(207) 725-7779
NPI assigned
Jun 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Susan R Anderson
Title
President/Owner
Phone
(207) 729-3642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 183500000X PR3715 ME Primary

Addresses

Primary practice location

56 Baribeau Dr
Brunswick, ME 04011-3251

Mailing address

56 Baribeau Dr
PO Box 6468
Brunswick, ME 04011-3251
Phone (207) 725-8100

National Provider Directory

National Provider Directory
Tax ID family
Brunswick Medical Center Pharmacy at Senior Health Center2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336180223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 BARIBEAU DR",
            "address_2": "PO BOX 6468",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113251",
            "telephone_number": "207-725-8100",
            "fax_number": "207-725-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 BARIBEAU DR",
            "city": "BRUNSWICK",
            "state": "ME",
            "postal_code": "040113251",
            "telephone_number": "207-725-8100",
            "fax_number": "207-725-7779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK MEDICAL CENTER PHARMACY AT SENIOR HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "207-729-3642"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR3715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.