Organization Active NPI

Bedard Pharmacy, Inc.

Doing business as Bedard Pharmacy

  • Community/Retail Pharmacy
  • Auburn, ME
National Provider Identifier
1790077477
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
BEDARD PHARMACY, INC.
Doing business as
Bedard Pharmacy
Practice address
359 Minot Ave Ste B
Auburn, ME 04210-4329
Phone
(207) 783-1410
Fax
(207) 333-3269
NPI assigned
May 12, 2011
Last updated
Mar 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Authorized official

Name
Benjamin Nadeau
Title
Ceo/Owner
Phone
(207) 440-2223

Specialties & licenses 1

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

Addresses

Primary practice location

359 Minot Ave Ste B
Auburn, ME 04210-4329

Mailing address

359 Minot Ave Ste B
Auburn, ME 04210-3303
Phone (207) 783-1410

Other names 1

  • Bedard Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130916000144 ME Part B Supplier - Mass Immunization (Roster Biller Only) 2668599895 1 other NPI on this enrollment
Practice locations: Auburn, ME
O20220324001916 ME DME Supplier - Pharmacy 2668599895 Practice locations: Auburn, ME

National Provider Directory

National Provider Directory
Tax ID family
Bedard Direct3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

359 Minot Ave
Auburn, ME 04210

359 Minot Ave
Ste B
Auburn, ME 04210
Phone (207) 783-1410

61 College St
Lewiston, ME 04240
Phone (207) 786-0138

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709769600000",
    "number": "1790077477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 MINOT AVE STE B",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042103303",
            "telephone_number": "207-783-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 MINOT AVE STE B",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042104329",
            "telephone_number": "207-783-1410",
            "fax_number": "207-333-3269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDARD PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-12",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A",
        "authorized_official_last_name": "NADEAU",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "207-440-2223"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedard Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.