Waterville Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

WATERVILLE PHARMACY

Practice address

20 Concourse W
Waterville, ME 04901

Phone

(207) 453-4411

Fax

(207) 453-6612

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Shane G Savage, R.PH

Title

Pharmacist/Owner

Phone

(207) 314-3730

Specialties & licenses 1

Addresses

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

  • Pharmacist
  • Waterville, ME
  • NPI 1356554190
  NPD tax ID

Locations

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1366916025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 WESTERN AVE",
            "city": "FAIRFIELD",
            "state": "ME",
            "postal_code": "04937",
            "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": "20 CONCOURSE W",
            "city": "WATERVILLE",
            "state": "ME",
            "postal_code": "04901",
            "telephone_number": "207-453-4411",
            "fax_number": "207-453-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERVILLE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "207-314-3730",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Waterville Pharmacy
• Waterville Public Schools
• Waterville Public Schools
• Waterville Public Schools
• Waterville SNF Operations, LLC
• Carianne Watson, LCPC/C

• Community/Retail Pharmacy in Waterville, ME
• Providers in Waterville, ME by specialty
• Community/Retail Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2019; 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.