Mainehealth

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50001517 Issued in ME

Legal business name

MAINEHEALTH

Doing business as

MaineHealth Pharmacy Maine Medical Center Portland

Practice address

22 Bramhall St
Portland, ME 04102-3134

Phone

(207) 662-2626

Fax

(207) 662-6660

NPI assigned

Oct 29, 2014

Last updated

May 28, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

MAINEHEALTHAs reported in NPPES

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

Authorized official

Name

Lugene Inzana

Title

Associate Cfo

Phone

(207) 661-1346

Specialties & licenses 2

Addresses

Other names 1

• MaineHealth Pharmacy Maine Medical Center Portland Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in ME3 enrollments

Enrollment records 3

Other NPIs on the same Medicare enrollment 3

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

• Mainehealth

  dba MaineHealth Pharmacy Brighton Ave

  • Community/Retail Pharmacy
  • Portland, ME
  • NPI 1013868181

  O20231107002711

  Same enrollment
• Mainehealth

  dba Mainehealth Retail Pharmacy

  • Community/Retail Pharmacy
  • Rockport, ME
  • NPI 1396815106

  O20231107002711

  Same enrollment
• Mainehealth

  dba Mainehealth Pharmacy Maine Medical Center Biddeford

  • Community/Retail Pharmacy
  • Biddeford, ME
  • NPI 1861206195

  O20231107002711

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Maine Medical Assoc85 organizations share this tax ID, including this one

Part of

Maine Medical Assoc

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Mainehealth

  dba Maine Medical Partners

  • General Acute Care Hospital
  • Scarborough, ME
  • NPI 1609251610
  NPD tax ID
• Mainehealth

  dba MaineHealth MT Blue Health Center

  • Rural Health Clinic/Center
  • Farmington, ME
  • NPI 1619510047
  NPD tax ID
• Mainehealth

  dba SMHC Walk In Care-Waterboro

  • Urgent Care Clinic/Center
  • East Waterboro, ME
  • NPI 1649750449
  NPD tax ID
• Mainehealth

  dba Kenneth Ault MD

  • Hematology (Internal Medicine) Physician
  • Scarborough, ME
  • NPI 1659475036
  NPD tax ID
• Mainehealth

  dba MaineHealth Primary Care Internal Medicine

  • General Acute Care Hospital
  • Topsham, ME
  • NPI 1669300406
  NPD tax ID
• Mainehealth

  dba Safe Havens at St. Andrews Village

  • Alzheimer Center (Dementia Center)
  • Boothbay Harbor, ME
  • NPI 1669569133
  NPD tax ID
• Mainehealth

  dba Gregory Wing at St. Andrews Village

  • Nursing Facility/Intermediate Care Facility
  • Boothbay Harbor, ME
  • NPI 1669952446
  NPD tax ID
• Mainehealth

  dba MMC General OB

  • Obstetrics & Gynecology Physician
  • Portland, ME
  • NPI 1699004184
  NPD tax ID
• Mainehealth

  dba Franklin Memorial Hospital

  • Rehabilitation Hospital Unit
  • Farmington, ME
  • NPI 1699453159
  NPD tax ID
• Mainehealth

  dba Maine Medical Center Physical Therapy

  • Physical Therapist
  • Portland, ME
  • NPI 1710218078
  NPD tax ID
• Mainehealth

  dba SMHC Walk In Care-Kennebunk

  • Urgent Care Clinic/Center
  • Kennebunk, ME
  • NPI 1730669532
  NPD tax ID
• Mainehealth

  dba MaineHealth Orthopedics and Sports Medicine

  • General Acute Care Hospital
  • Brunswick, ME
  • NPI 1740109313
  NPD tax ID

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1740685072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-2626",
            "fax_number": "207-662-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 BRAMHALL ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041023134",
            "telephone_number": "207-662-2626",
            "fax_number": "207-662-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINEHEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAINEHEALTH",
        "enumeration_date": "2014-10-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "INZANA",
        "authorized_official_first_name": "LUGENE",
        "authorized_official_title_or_position": "ASSOCIATE CFO",
        "authorized_official_telephone_number": "207-661-1346"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001517",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "MaineHealth Pharmacy Maine Medical Center Portland",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mainehealth
• Mainehealth (MMC General OB)
• Mainehealth (MMC Diabetes Consult Service)
• Mainehealth (Maine Medical Center Physical Therapy)
• Mainehealth (Maine Medical Center Neonate Eye)
• Mainehealth (MaineHealth Maine Medical Center)
• Mainehealth (Maine Transplant Program)
• Mainehealth (Maine Medical Partners Pediatric Surgery)
• Mainehealth (MMC Vocational Services)
• Mainehealth

• 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 May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.