Organization Active NPI

Kennebec Pharmacy and Home Care, LLC

  • Durable Medical Equipment & Medical Supplies
  • Auburn, ME
National Provider Identifier
1790368603
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KENNEBEC PHARMACY AND HOME CARE, LLC
Doing business as
Kennebec Pharmacy & Home Care,LLC
Practice address
219 Mount Auburn Ave Suite B
Auburn, ME 04210-8521
Phone
(207) 626-2120
Fax
(207) 626-8163
NPI assigned
Apr 29, 2021
Organization subpart
Yes
Parent organization
KENNEBEC PHARMACY & HOME CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Ted Nathan Trebilcock
Title
Controller
Phone
(207) 626-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

219 Mount Auburn Ave Suite B
Auburn, ME 04210-8521

Mailing address

219 Mount Auburn Ave Ste B
Auburn, ME 04210-8521
Phone (207) 626-2726

Other names 1

  • Kennebec Pharmacy & Home Care,LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Augusta Direct Kennebec Pharmacy and Home Care LLC

National Provider Directory

National Provider Directory
Part of
Kennebec Pharmacy and Home Care LLC

Locations

219 Mount Auburn Ave
Ste A
Auburn, ME 04210

121 Medical Center Dr
Ste 50
Brunswick, ME 04011
Phone (207) 729-3642

121 Medical Center Dr
#50
Brunswick, ME 04011
Phone (207) 729-3642

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1790368603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 MOUNT AUBURN AVE STE B",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108521",
            "telephone_number": "207-626-2726",
            "fax_number": "207-626-8163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MOUNT AUBURN AVE SUITE B",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042108521",
            "telephone_number": "207-626-2120",
            "fax_number": "207-626-8163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBEC PHARMACY AND HOME CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KENNEBEC PHARMACY & HOME CARE, LLC",
        "enumeration_date": "2021-04-29",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "TREBILCOCK",
        "authorized_official_first_name": "TED",
        "authorized_official_middle_name": "NATHAN",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "207-626-2726"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Augusta",
            "affiliation": "Y",
            "endpointDescription": "mail",
            "affiliationName": "Kennebec Pharmacy and Home Care LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Mail",
            "address_1": "219 Mount Auburn Ave",
            "city": "Auburn",
            "state": "ME",
            "country_code": "US",
            "postal_code": "042108521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kennebec Pharmacy & Home Care,LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kennebec Pharmacy & Home Care,LLC",
            "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 Apr 1, 2026; 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.