Central Maine Medical Center
Organization Active NPI Community/Retail Pharmacy · Lewiston, ME
NPI 1861433765 · NPPES record last updated Jul 14, 2016
Key facts
- NPI
- 1861433765
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- PH50001491 (ME)
- Legal business name
- CENTRAL MAINE MEDICAL CENTER
- Practice address
- 12 High St
Lewiston, ME 04240-7676 - Phone
- (207) 795-7177
- Fax
- (207) 795-7552
- NPI assigned
- Jun 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Kristin Chupka, DOCTORATE
- Title
- Pharmacy Manager
- Phone
- (207) 795-8106
Other NPIs with the same Medicare PAC ID 2
Corporate family (same tax ID) 3
Practitioners 444
-
Gregory Bianconi, MD
-
Patricia Collins, DO
-
Margo B. Goodman, DO
-
Thomas C Hattan, MD
-
Kelsey Hickey, DO
-
Celeste Hutton, MD
-
Genesis E Juat, MD
-
Hannah R Kazal, MD, SCM
-
Pruthvi Kilaru, DO
-
Jacob Lamoreau, MD
-
John J Lowery, D.O., PH.D.
-
Audrey Micallef, M.D.
-
Sydney Morse, MD
-
Lauren Nadkarni, MD
-
Christine Nwoke, DO
-
Luke Ollila, DO
-
Anthony Pastore, DO
-
Isaac Peacock, DO
-
Paige Picard, DO
-
Bethany J Picker, MD
-
Matthew Rausch, DO
-
Michael Rifkin, MD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Central Maine Medical Center |
Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order) | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in ME
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140208000156 | ME | Part B Supplier - Mass Immunization (Roster Biller Only) | 2567379563 | Practice locations: Lewiston, ME |
| O20140527001343 | ME | DME Supplier - Pharmacy | 2567379563 | Practice locations: Lewiston, ME |
National Provider Directory
- Tax ID family
- Central Maine Med CNTR
Locations
76 High St
Lewiston, ME 04240
Phone (207) 795-2800
12 High St
Lewiston, ME 04240
Phone (207) 795-5730
77 Bates St
Ste 202
Lewiston, ME 04240
Phone (207) 784-5784
31 Campus Ave
Lewiston, ME 04240
Phone (207) 786-6199
77 Bates St
Lewiston, ME 04240
Phone (207) 753-3080
77 Bates St
Ste 210
Lewiston, ME 04240
Phone (207) 753-7618
12 High St
Ste 200
Lewiston, ME 04240
Phone (207) 795-5770
12 High St
Ste 103
Lewiston, ME 04240
Phone (207) 795-2100
12 High St
Ste 301
Lewiston, ME 04240
Phone (207) 795-5730
25 Bowdoin St
Manchester, ME 04351
Phone (207) 248-0500
4 Horton Pl
Topsham, ME 04086
Phone (207) 795-6251
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | PH50001491 | ME | Yes |
| Specialty Pharmacy | 3336S0011X |
Addresses
Primary practice location
12 High St
Lewiston, ME 04240-7676
Mailing address
CMMC Pharmacy
300 Main Street
Lewiston, ME 04240
Phone (207) 795-7177
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2037588 | Other | PK | |
| 1861433765 | Medicaid | ME |
Other names
- CMMC Pharmacy
Other providers in Lewiston, ME
- Central Maine Magnetic Imaging Associates
- Central Maine Medical Center
- Central Maine Medical Center
- Central Maine Medical Center
- Central Maine Medical Center
- Central Maine Medical Center
- Central Maine Medical Family
- Central Maine Pathology
- Central Maine Psychotherapy, PA
- Kristina Chadwick
All providers in Lewiston, 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 Jul 14, 2016. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.