Active NPI
Frontier Pharmacy LLC
- Community/Retail Pharmacy
- Caribou, ME
National Provider Identifier
1679812200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- PH50001462
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2138755 | Other | PK | |
| 1679812200 | Medicaid | ME |
Other names 1
- Frontier Pharmacy
National Provider Directory
National Provider DirectoryLocations
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.