Bedard Pharmacy, Inc.
Organization Active NPI Community/Retail Pharmacy · Auburn, ME
NPI 1790077477 · NPPES record last updated Mar 7, 2024
Key facts
- NPI
- 1790077477
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- Legal business name
- BEDARD PHARMACY, INC.
- Practice address
- 359 Minot Ave Ste B
Auburn, ME 04210-4329 - Phone
- (207) 783-1410
- Fax
- (207) 333-3269
- NPI assigned
- May 12, 2011
- Organization subpart
- No
Authorized official
- Name
- Benjamin Nadeau
- Title
- Ceo/Owner
- Phone
- (207) 440-2223
Corporate family (same tax ID) 2
Member organizations 1
Practitioners 4
-
Christina L Hodsdon, PHARMD
-
Christopher Nadeau, PHARMD
-
Michael Richard Nadeau, P.D.
-
Steven Roland Royer, R.PH.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Tax ID family
- Bedard Direct
Locations
359 Minot Ave
Auburn, ME 04210
61 College St
Lewiston, ME 04240
Phone (207) 713-2266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2130315 | Other | PK |
Other names
- Bedard Pharmacy
Other providers in Auburn, ME
- Jill Beaucage
- Sloane Becker
- Scott M Beckerman
- Bedard Medical Inc
- Bedard Pharmacy, Inc.
- Bedard Senior Care Inc
- Raymond T Bedette
- Danielle Casey Begert
- Caitlin Beling
- Karri Beling
All providers in Auburn, ME · Community/Retail Pharmacy in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.