Pharmerica East LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

PH50001246 Issued in ME

Legal business name

PHARMERICA EAST LLC

Practice address

97 McAlister Farm Rd
Portland, ME 04103

Phone

(207) 775-0631

Fax

(207) 773-4274

NPI assigned

Aug 30, 2006

Organization subpart

Yes

Parent organization

PHARMERICA CORPORATIONAs reported in NPPES

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

Authorized official

Name

Mr. Allison L. Brown

Title

Secretary

Phone

(502) 630-7429

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• PharMerica Doing business as

Medicare fee-for-service enrollment

Enrolled in ME2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

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

• Pharmerica East LLC

  • Long Term Care Pharmacy
  • Worthington, OH
  • NPI 1013028042

  4284844242

  Same PAC ID
• Pharmerica East LLC

  • Long Term Care Pharmacy
  • Virginia Beach, VA
  • NPI 1780795740

  4284844242

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Pharmerica2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Pharmerica East LLC

  • Long Term Care Pharmacy
  • Worthington, OH
  • NPI 1013028042
  NPD tax ID

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

• Pharmacy Corporation of America

  • Long Term Care Pharmacy
  • Rapid City, SD
  • NPI 1174556757

  Member Of

  NPD member
• Pharmerica Institutional Pharmacy Services LLC

  • Long Term Care Pharmacy
  • Concord, NH
  • NPI 1215047238

  Member Of

  NPD member
• Walgreen Co

  • Pharmacy
  • Menomonie, WI
  • NPI 1962417048

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendy Stearns, R.PH

  • Pharmacist
  • Tampa, FL
  • NPI 1912278847
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1912017906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3802 CORPOREX PARK DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336191125",
            "telephone_number": "813-318-6039",
            "fax_number": "800-825-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 MCALISTER FARM RD",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "04103",
            "telephone_number": "207-775-0631",
            "fax_number": "207-773-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMERICA EAST LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHARMERICA CORPORATION",
        "enumeration_date": "2006-08-30",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "502-630-7429",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "ME",
            "license": "PH50001246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "CSP50001662",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1912017906",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "NR1369",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PharMerica",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Pfeifle, M.S
• Nicholas Pfenning, CADC
• Rachel Elise Pferdehirt, M.D.
• Rishi Phakey, DMD
• Andrew Phan, MD
• Brianna Marie Philbrick, MD
• Leighton R Philbrick, D.M.D.
• Robert Philbrook, LCPC
• Christine Ann Philion-Dufour, LCSW
• Philip R. Poulin, O.D.

• Long Term Care Pharmacy in Portland, ME
• Providers in Portland, ME by specialty
• Long Term Care Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.