Waterville Pharmacy

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH50001305 Issued in ME

Legal business name

WATERVILLE PHARMACY

Practice address

50 W Concourse
Waterville, ME 04901-6007

Phone

(207) 453-4411

Fax

(207) 453-6612

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Clayton R Smith, RHP

Title

Pharmacist

Phone

(207) 453-4411

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Waterville Pharmacy2 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.

• Waterville Pharmacy

  • Community/Retail Pharmacy
  • Waterville, ME
  • NPI 1366916025
  NPD tax ID

Locations

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1356554190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W CONCOURSE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016007",
            "telephone_number": "207-453-4411",
            "fax_number": "207-453-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W CONCOURSE",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "049016007",
            "telephone_number": "207-453-4411",
            "fax_number": "207-453-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVILLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "207-453-4411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RHP"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PH50001305",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY LICENSE NUMBER",
            "identifier": "PH50001305",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Waterville Family Practice
• Waterville Home Oxygen, LLC
• Waterville Medical Supplies
• Waterville OB/GYN, PA
• Waterville Pediatrics PA
• Waterville Pharmacy
• Waterville Public Schools
• Waterville Public Schools
• Waterville Public Schools
• Waterville SNF Operations, LLC

• Pharmacist in Waterville, ME
• Providers in Waterville, ME by specialty
• Pharmacist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.