RX Associates LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

RX ASSOCIATES LLC

Practice address

711 Broadway Ste 2
Bangor, ME 04401-3225

Phone

(207) 922-3849

Fax

(207) 834-2882

NPI assigned

Oct 23, 2018

Last updated

Jan 15, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

RX ASSOCIATES LLCAs reported in NPPES

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

Authorized official

Name

Mr. Charles J Ouellette, RPHNPI 1154621696

Title

Owner

Phone

(207) 834-2880

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• RX Associates LLC

  dba Bangor Drug Company

  • Community/Retail Pharmacy
  • Bangor, ME
  • NPI 1124687538

  O20200728000242

  Same enrollment

Part of

RX Associates LLC

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.

• RX Associates LLC

  dba Bangor Drug Company

  • Community/Retail Pharmacy
  • Bangor, ME
  • NPI 1124687538
  NPPES parent name

Practitioners 1

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.

• Charles J Ouellette, RPH

  • Pharmacist
  • Fort Kent, ME
  • NPI 1154621696
  NPD Authorized official

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

{
    "created_epoch": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1679049175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047430189",
            "telephone_number": "207-834-2880",
            "fax_number": "207-834-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 BROADWAY STE 2",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044013225",
            "telephone_number": "207-922-3849",
            "fax_number": "207-834-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RX ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RX ASSOCIATES LLC",
        "enumeration_date": "2018-10-23",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-834-2880",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Russell
• Rosalie (Lee) A Russell, NCC, LCPC
• Susan M. Russell, LCPC
• Christine Louise Rutlen
• RX Associates LLC (Bangor Drug Company)
• Deborah S Ryan, MD
• John Patrick Ryan, ATC
• David James Rydell, DO
• Rosa Maria Ryder, ADCA
• Susan A Ryder, LCPC

• Long Term Care Pharmacy in Bangor, ME
• Providers in Bangor, ME by specialty
• Long Term Care Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.