Organization Active NPI

Mainegeneral Medical Center

Doing business as MaineGeneral Pharmacy

  • Community/Retail Pharmacy
  • Waterville, ME
National Provider Identifier
1477344976
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0090285Mainegeneral Medical Center149 North St, Waterville, ME 04901AccreditationFeb 27, 2027

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Mainegeneral Medical Center149 North St, Waterville, ME 04901-4974(207) 692-5010 Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Jul 1, 1997

National Provider Directory

National Provider Directory
Tax ID family
Maine General Medial Ce2 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.

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.

View all 1,062

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

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.

Verify at the official NPI Registry.