Old Port Pharmacy, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50001274 Issued in ME

Legal business name

OLD PORT PHARMACY, INC

Practice address

195 Middle St
Portland, ME 04101-4003

Phone

(207) 772-2164

Fax

(207) 353-0638

NPI assigned

Aug 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Paul B Chace, R.PH.

Title

President

Phone

(207) 240-1082

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730292970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MIDDLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014003",
            "telephone_number": "207-772-2164",
            "fax_number": "207-353-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MIDDLE ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041014003",
            "telephone_number": "207-772-2164",
            "fax_number": "207-353-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLD PORT PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHACE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-240-1082",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001274",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dara Marie Oja, RN
• Chinedu Christian Okoli
• Hannah Marie Okonsky, OTD, OTR-L
• Erik R Olander, LCPC-C
• Old Port Chiropractic,Inc.
• Nicolette Oleaga, CRNA
• Jonathon Olesen, ATC
• Sahar Andrea Oliaei
• Sophia Oliveira
• Andrew Oliver, APRN-CRNA

• Community/Retail Pharmacy in Portland, ME
• Providers in Portland, ME by specialty
• Community/Retail Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.