NPIMap

Organization Active NPI

Fish River Rural Health

  • Community/Retail Pharmacy
  • Eagle Lake, ME
National Provider Identifier
1861281362
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
FISH RIVER RURAL HEALTH
Practice address
10 Carter St
Eagle Lake, ME 04739-3060
Phone
(207) 444-5973
NPI assigned
May 2, 2025
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
FISH RIVER RURAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Janice Ann Collins
Title
Director of Pharmacy
Phone
(207) 444-5384

Specialties & licenses 1

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

Addresses

Primary practice location

10 Carter St
Eagle Lake, ME 04739-3060

Mailing address

10 Carter St
Eagle Lake, ME 04739-3060
Phone (207) 444-5973

Other names 1

  • Fish River Rural Health Pharmacy Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260428000041 ME Part B Supplier - Mass Immunization (Roster Biller Only) 3577531953 2 other NPIs on this enrollment
Practice locations: Eagle Lake, ME; Fort Kent, ME; Madawaska, ME

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory
Tax ID family
Fish River Rural HLTH7 organizations share this tax ID, including this one
Part of
Fish River Rural HLTH

Other organizations with this tax ID 6

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

Locations

10 Carter St
Eagle Lake, ME 04739
Phone (207) 444-5973

NPI Registry JSON

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

{
    "created_epoch": "1746144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1861281362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 CARTER ST",
            "city": "EAGLE LAKE",
            "state": "ME",
            "postal_code": "047393060",
            "telephone_number": "207-444-5973",
            "fax_number": "207-444-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 CARTER ST",
            "city": "EAGLE LAKE",
            "state": "ME",
            "postal_code": "047393060",
            "telephone_number": "207-444-5973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FISH RIVER RURAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FISH RIVER RURAL HEALTH",
        "enumeration_date": "2025-05-02",
        "last_updated": "2025-09-11",
        "certification_date": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "COLLINS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "207-444-5384"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fish River Rural Health Pharmacy",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eagle Lake, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.