Active NPI
Mainegeneral Medical Center
Doing business as MaineGeneral Pharmacy
- Community/Retail Pharmacy
- Waterville, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MAINEGENERAL MEDICAL CENTER
- Doing business as
- MaineGeneral Pharmacy
- Practice address
- 149 North St Ste 3
Waterville, ME 04901-4974 - Phone
- (207) 626-1000
- NPI assigned
- May 14, 2025
- Last updated
- May 14, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Terrance Brann
- Title
- Cfo
- Phone
- (207) 626-1230
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
149 North St Ste 3
Waterville, ME 04901-4974
Mailing address
1620 W Northwest Hwy Ste 100
Grapevine, TX 76051-3219
Phone (817) 913-7247
Other names 1
- MaineGeneral Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251001003863 | ME | DME Supplier - Pharmacy | 1254245715 | Practice locations: Waterville, ME |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
dba MaineGeneral Multi-Specialty
- Family Medicine Physician
- Augusta, ME
- NPI 1063716710
1254245715
-
dba MaineGeneral Primary Care
- General Acute Care Hospital
- Augusta, ME
- NPI 1174858278
1254245715
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 20D0090285 | Mainegeneral Medical Center | Accreditation | Feb 27, 2027 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Mainegeneral Medical Center | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider Directory- Tax ID family
- Maine General Medial Ce
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Internal Medicine Physician
- Hagerstown, MD
- NPI 1992717839
Locations (25 of 27)
12 Shuman Ave
Ste 5
Augusta, ME 04330
Phone (207) 622-8600
21 Enterprise Dr
Augusta, ME 04330
Phone (207) 621-7550
271 Water St
Augusta, ME 04330
Phone (207) 621-2304
442 Civic Center Dr
Augusta, ME 04330
Phone (207) 622-6319
55 Middle St
Augusta, ME 04330
Phone (207) 623-6680
6 E Chestnut St
Augusta, ME 04330
Phone (207) 626-1236
6 E Chestnut St
#C3
Augusta, ME 04330
Phone (207) 621-1150
7 Spruce St
Augusta, ME 04330
Phone (207) 621-7216
4 Sheridan Rd
#1
Fairfield, ME 04937
Phone (207) 872-9564
152 Dresden Ave
Gardiner, ME 04345
Phone (207) 582-6608
40 Granite Hill Rd
Manchester, ME 04351
Phone (207) 621-7513
11 Evergreen Dr
Oakland, ME 04963
Phone (207) 861-5050
25 Evergreen Dr First Park
Mainegeneral Surgery
Oakland, ME 04963
Phone (207) 861-5050
25 First Park Dr
Oakland, ME 04963
Phone (207) 465-2181
165 North Ave
Skowhegan, ME 04976
Phone (207) 474-7355
10 Water St
Ste 303
Waterville, ME 04901
Phone (207) 861-3500
149 North St
#1
Waterville, ME 04901
Phone (207) 872-1000
149 North St
#2
Waterville, ME 04901
Phone (207) 872-1000
149 North St
Ste 3
Waterville, ME 04901
Phone (207) 692-5010
295C Kennedy Memorial Dr
Ste 1
Waterville, ME 04901
Phone (207) 873-5437
32 College Ave
Waterville, ME 04901
Phone (207) 680-2065
325 Kennedy Memorial Dr
#B
Waterville, ME 04901
Phone (207) 861-6550
70 1st Rangeway
Waterville, ME 04901
Phone (207) 616-0705
149 Main St
#1A
Winthrop, ME 04364
Phone (207) 377-2114
149 Main St
Ste 2A
Winthrop, ME 04364
Phone (207) 377-2111
Practitioners & affiliated clinicians
Practitioners 1,062
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Augusta, ME
- NPI 1851823033
-
- Clinical Social Worker
- Stetson, ME
- NPI 1205048345
-
- Physician Assistant
- Oakland, ME
- NPI 1700253671
-
- Family Medicine Physician
- Augusta, ME
- NPI 1558525188
-
- Psychiatry Physician
- South Portland, ME
- NPI 1871939710
-
- Hematology & Oncology Physician
- Augusta, ME
- NPI 1851823314
-
- Hematology & Oncology Physician
- Augusta, ME
- NPI 1053706069
-
- Orthopaedic Surgery Physician
- Augusta, ME
- NPI 1073064770
-
- Pediatrics Physician
- Augusta, ME
- NPI 1295155869
-
- Physician Assistant
- Auburn, ME
- NPI 1619909017
-
- Hospitalist Physician
- Waterville, ME
- NPI 1497721849
-
- Family Medicine Physician
- Augusta, ME
- NPI 1205574464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747180800000",
"number": "1477344976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 W NORTHWEST HWY STE 100",
"city": "GRAPEVINE",
"state": "TX",
"postal_code": "760513219",
"telephone_number": "817-913-7247",
"fax_number": "817-720-1039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 NORTH ST STE 3",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049014974",
"telephone_number": "207-626-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAINEGENERAL MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-14",
"last_updated": "2025-05-14",
"certification_date": "2025-05-14",
"status": "A",
"authorized_official_last_name": "BRANN",
"authorized_official_first_name": "TERRANCE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "207-626-1230"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MaineGeneral Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Waterville, ME
- Mainegeneral Health Associates (Pulmonology)
- Mainegeneral Health Associates (Evergreen Family Practice)
- Mainegeneral Health Associates (DBA MGHA surgery)
- Mainegeneral Health Associates (Kennebec Family Practice)
- Mainegeneral Health Associates Dba Oncology Associates
- Ruth A Malcolm, CADC
- Kiran A Mangalam, DO
- Abigail Bryson Manter, D.M.D.
- Benjamin William Manter, DMD
- George William Manter, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.