Joshua Burke

Individual provider Active NPI Community/Retail Pharmacy · Topsham, ME

NPI 1629809199 · NPPES record last updated Aug 8, 2024

Key facts

NPI
1629809199
Entity type
Individual (NPI type 1)
Primary specialty
Community/Retail Pharmacy 3336C0003X
License
PR72155 (ME)
Practice address
49 Topsham Fair Mall Rd Ste 1
Topsham, ME 04086-1734
Phone
(207) 729-3800
NPI assigned
Aug 8, 2024
Sex
Male
Sole proprietor
Yes

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PR72155MEMDCommunity/Retail Pharmacy

Practice roles

OrganizationSpecialtyStatusNew patients
Hannaford Bros. Co., LLC Community/Retail Pharmacy Past
since Aug 11, 2024
Accepting new patients
Hannaford Bros Co LLC Community/Retail Pharmacy Past
since Aug 11, 2024
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PR72155 ME Yes

Addresses

Primary practice location

49 Topsham Fair Mall Rd Ste 1
Topsham, ME 04086-1734

Mailing address

49 Topsham Fair Mall Rd Ste 1
Topsham, ME 04086-1734
Phone (207) 729-3800

Other providers in Topsham, ME

All providers in Topsham, ME · Community/Retail Pharmacy in Maine

Sources for this page

Verify at the official NPI Registry.