Kennebec Pharmacy and Home Care LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH50001559 Issued in ME

Legal business name

KENNEBEC PHARMACY AND HOME CARE LLC

Doing business as

Kennebec Pharmacy & Home Care

Practice address

11 Medical Center Pkwy Ste a
Augusta, ME 04330-8158

Phone

(207) 626-9066

Fax

(207) 621-8016

NPI assigned

Jun 13, 2016

Organization subpart

No

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

Authorized official

Name

Joe McVety

Title

VP Pharmacy Services

Phone

(207) 626-2726

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Kennebec Pharmacy & Home Care Doing business as

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kennebec Pharmacy and Home Care LLC

  • Oxygen Equipment & Supplies (DME)
  • Brunswick, ME
  • NPI 1063445625

  O20151118000564

  Same enrollment
• Kennebec Pharmacy and Home Care LLC

  • Long Term Care Pharmacy
  • Augusta, ME
  • NPI 1265832752

  O20151118000564

  Same enrollment
• Kennebec Pharmacy and Home Care LLC

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Augusta, ME
  • NPI 1487668927

  O20151118000564

  Same enrollment
• Kennebec Pharmacy and Home Care LLC

  • Durable Medical Equipment & Medical Supplies
  • Rockport, ME
  • NPI 1710992342

  O20151118000564

  Same enrollment

Locations

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1841649639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 MEDICAL CENTER PKWY STE A",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308158",
            "telephone_number": "207-626-9066",
            "fax_number": "207-621-8016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 MEDICAL CENTER PKWY STE A",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043308158",
            "telephone_number": "207-626-9066",
            "fax_number": "207-621-8016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNEBEC PHARMACY AND HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "MCVETY",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "VP PHARMACY SERVICES",
        "authorized_official_telephone_number": "207-626-2726"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ME",
            "license": "PH50001559",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160541",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kennebec Pharmacy & Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kennebec Pharmacy and Home Care LLC
• Kennebec Pharmacy and Home Care LLC
• Kennebec Speech Therapy PLLC
• Kennebec Valley Chiropractic
• Kennebec Valley Family Dentistry
• Kennebec Valley Obstetrics & Gynecology
• Kennebec Valley Radiology Professional Association

• Pharmacy in Augusta, ME
• Providers in Augusta, ME by specialty
• Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; 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.