Quoddy Bay Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50001454 Issued in ME

Legal business name

QUODDY BAY PHARMACY

Practice address

88 Washington St
Eastport, ME 04631-1229

Phone

(207) 866-3800

Fax

(207) 866-3300

NPI assigned

Jun 13, 2012

Organization subpart

Yes

Parent organization

ORONO PHARMACYAs reported in NPPES

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

Authorized official

Name

Mr. Ali R Aghamoosa

Title

Owner

Phone

(207) 866-3800

Specialties & licenses 1

Addresses

Tax ID family

Orono Pharmacy Inc2 organizations share this tax ID, including this one

Part of

Orono Pharmacy Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Orono Med Now

  • Clinic/Center
  • Orono, ME
  • NPI 1225321961
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Orono Pharmacy Inc

  • Community/Retail Pharmacy
  • Orono, ME
  • NPI 1114037298
  NPPES parent name

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

{
    "created_epoch": "1339545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339545600000",
    "number": "1437411709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MILL ST",
            "city": "ORONO",
            "state": "ME",
            "postal_code": "044735050",
            "telephone_number": "207-866-3800",
            "fax_number": "207-866-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 WASHINGTON ST",
            "city": "EASTPORT",
            "state": "ME",
            "postal_code": "046311229",
            "telephone_number": "207-866-3800",
            "fax_number": "207-866-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUODDY BAY PHARMACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORONO PHARMACY",
        "enumeration_date": "2012-06-13",
        "last_updated": "2012-06-13",
        "status": "A",
        "authorized_official_last_name": "AGHAMOOSA",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-866-3800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Parks, MA, CHW
• Pembroke School
• Perry School
• Peter J Repole, DMD, PC
• Deborah Pottle
• Barbara A Richardson, PHMNP
• William B Richardson, MD
• Kevin Garner Sample, LCSW, LADC
• Kristina Schaeffer, LIFESTYLE COACH
• School Union 104

• Community/Retail Pharmacy in Eastport, ME
• Providers in Eastport, 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 Jun 13, 2012; 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.