Organization Active NPI

Frontier Pharmacy LLC

  • Community/Retail Pharmacy
  • Caribou, ME
National Provider Identifier
1679812200
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH50001462 Issued in ME
Legal business name
FRONTIER PHARMACY LLC
Doing business as
Frontier Pharmacy
Practice address
153 Bennett Dr
Caribou, ME 04736-2024
Phone
(207) 493-7771
Fax
(207) 493-7895
NPI assigned
Feb 1, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Authorized official

Name
Joseph Solomon
Title
Managaing Member
Phone
(207) 227-7440

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X PH50001462 ME Primary

Addresses

Primary practice location

153 Bennett Dr
Caribou, ME 04736-2024

Mailing address

153 Bennett Dr
Caribou, ME 04736-2024
Phone (207) 493-7771

Other identifiers 2

IdentifierTypeStateIssuer
2138755OtherPK
1679812200MedicaidME

Other names 1

  • Frontier Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

153 Bennett Dr
Caribou, ME 04736
Phone (207) 493-7771

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484870400000",
    "number": "1679812200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 BENNETT DR",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362024",
            "telephone_number": "207-493-7771",
            "fax_number": "207-493-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 BENNETT DR",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362024",
            "telephone_number": "207-493-7771",
            "fax_number": "207-493-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTIER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2017-01-20",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGAING MEMBER",
        "authorized_official_telephone_number": "207-227-7440"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2138755",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679812200",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontier Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Caribou, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2017; 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.