Central Maine Apothecary Ventures

Primary specialty

PharmacyTaxonomy code 333600000X

License

PH50001561 Issued in ME

Legal business name

CENTRAL MAINE APOTHECARY VENTURES

Doing business as

CMMC Pharmacy-Center St

Practice address

593 Center St
Auburn, ME 04210-6323

Phone

(207) 784-0807

Fax

(207) 784-0808

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Kevin Forbush

Title

Director of Pharmacy

Phone

(207) 795-2328

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• CMMC Pharmacy-Center St Doing business as

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1861844300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 MAIN ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042407027",
            "telephone_number": "207-784-0807",
            "fax_number": "207-784-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "593 CENTER ST",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042106323",
            "telephone_number": "207-784-0807",
            "fax_number": "207-784-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MAINE APOTHECARY VENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "FORBUSH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "207-795-2328"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "ME",
            "license": "PH50001561",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162050",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMMC Pharmacy-Center St",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John P Carroll, LCPC
• Theresa Ann Castagna, M.S. CCC/SLP
• Gretchen Castro, SLPA
• Center for Advanced Dentistry
• Center Street Dental, PA
• Central Maine Conditioning Clinic, Inc
• Central Maine Endodontics
• Central Maine Long Term Care, Inc.
• Central Maine Magnetic Imaging Associates (CMIC MRI-Auburn)
• Central Maine Medical Center (CMMC Urgent Care)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.