Organization Active NPI

Louis J Paradis Inc

Doing business as Paradis Shop N Save

  • Community/Retail Pharmacy
  • Fort Kent, ME
National Provider Identifier
1356459739
Registry record updated Feb 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH50001215 Issued in ME
Legal business name
LOUIS J PARADIS INC
Doing business as
Paradis Shop N Save
Practice address
62 West Main Street
Suite 101
Fort Kent, ME 04743
Phone
(207) 834-3020
Fax
(207) 834-3380
NPI assigned
Aug 27, 2006
Last updated
Feb 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2015

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

Authorized official

Name
Craig A Paradis
Title
Treasurer/Owner
Phone
(207) 834-3020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X PH50001215 ME Primary

Addresses

Primary practice location

62 West Main Street
Suite 101
Fort Kent, ME 04743

Mailing address

62 West Main Street
Suite 101
Fort Kent, ME 04743
Phone (207) 834-3020

Other identifiers 2

IdentifierTypeStateIssuer
104060001MedicaidME
2037574OtherPK

Other names 1

  • PARADIS SHOP N SAVE Doing business as

National Provider Directory

National Provider Directory

Locations

62 W Main St
Ste 101
Fort Kent, ME 04743
Phone (207) 834-3020

NPI Registry JSON

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

{
    "created_epoch": "1156636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1356459739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 WEST MAIN STREET",
            "address_2": "SUITE 101",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "04743",
            "telephone_number": "207-834-3020",
            "fax_number": "207-834-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 WEST MAIN STREET",
            "address_2": "SUITE 101",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "04743",
            "telephone_number": "207-834-3020",
            "fax_number": "207-834-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS J PARADIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-27",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "PARADIS",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TREASURER/OWNER",
        "authorized_official_telephone_number": "207-834-3020"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001215",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104060001",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2037574",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARADIS SHOP N SAVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Kent, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.