South Berwick Pharmacy Seacoast Compounding Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50001453 Issued in ME

Legal business name

SOUTH BERWICK PHARMACY SEACOAST COMPOUNDING INC

Practice address

289 Main St
South Berwick, ME 03908-1543

Phone

(207) 384-2772

NPI assigned

May 3, 2012

Last updated

Sep 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kate Kenney Hansen

Title

Owner

Phone

(207) 384-2772

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Nickolas Cameron Hutchings, PHARMD

  • Clinical Pharmacology Physician
  • South Berwick, ME
  • NPI 1194289876
  NPD (past)

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1811255318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081543",
            "telephone_number": "207-384-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "289 MAIN ST",
            "city": "SOUTH BERWICK",
            "state": "ME",
            "postal_code": "039081543",
            "telephone_number": "207-384-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BERWICK PHARMACY SEACOAST COMPOUNDING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-03",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "KATE",
        "authorized_official_middle_name": "KENNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-384-2772"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001453",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "ME",
            "license": "PH50001453",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Sandler
• Taylar Schoff
• Wunderly Shaw, M.S., CCC-SLP
• South Berwick Emergency Ambulance & Rescue Service Inc
• South Berwick Pharmacy Seacoast Compounding Inc
• Kimberly Stevens, LICSW
• Willa Jane Stockwell
• Town of So Berwick
• True North Family Chiropractic PLLC (True North Family Chiropractic)
• Elena Turnbull

• Community/Retail Pharmacy in South Berwick, ME
• Providers in South Berwick, 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 Sep 13, 2021; 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.