Organization Active NPI

Winslow RX

  • Community/Retail Pharmacy
  • Winslow, ME
National Provider Identifier
1790010098
Registry record updated Dec 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
PH50001378 Issued in ME
Legal business name
WINSLOW RX
Doing business as
Winslow Pharmacy
Practice address
20 Garland Rd
Winslow, ME 04901-0600
Phone
(207) 872-7979
Fax
(207) 453-6612
NPI assigned
Oct 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2014

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

Authorized official

Name
Shane Savage
Title
President/Owner
Phone
(207) 453-4411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X PH50001378 ME Primary

Addresses

Primary practice location

20 Garland Rd
Winslow, ME 04901-0600

Mailing address

20 Garland Rd
Winslow, ME 04901
Phone (207) 872-7979

Other identifiers 1

IdentifierTypeStateIssuer
2008438OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Winslow Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141126001354 ME Part B Supplier - Mass Immunization (Roster Biller Only) 9638359508 Practice locations: Winslow, ME

National Provider Directory

National Provider Directory

Locations

66 Western Ave
Fairfield, ME 04937
Phone (207) 453-4365

NPI Registry JSON

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

{
    "created_epoch": "1254700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1790010098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GARLAND RD",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "04901",
            "telephone_number": "207-872-7979",
            "fax_number": "207-872-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GARLAND RD",
            "city": "WINSLOW",
            "state": "ME",
            "postal_code": "049010600",
            "telephone_number": "207-872-7979",
            "fax_number": "207-453-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINSLOW RX",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-05",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "SAVAGE",
        "authorized_official_first_name": "SHANE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "207-453-4411"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2008438",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winslow Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winslow, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.