NPIMap

Organization Active NPI

Fish River Rural Health

  • Community/Retail Pharmacy
  • Fort Kent, ME
National Provider Identifier
1962291468
Registry record updated Sep 5, 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
12 Bolduc Ave
Fort Kent, ME 04743-1602
Phone
(207) 834-2007
NPI assigned
May 2, 2025
Last updated
Sep 5, 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 5, 2025

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

Authorized official

Name
Janice Ann CollinsNPI 1114235397
Title
Director of Pharmacy
Phone
(207) 316-9699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

12 Bolduc Ave
Fort Kent, ME 04743-1602

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
This NPI is an additional NPI on the enrollment
Practice locations: Eagle Lake, ME; Fort Kent, ME; Madawaska, ME

Other NPIs on the same Medicare enrollment 2

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

Laboratory certificates & supplier records

Derived by NPIMap

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

SupplierSuppliesMedicare assignment
Fish River Rural Health12 Bolduc Ave, Fort Kent, ME 04743-1602(207) 834-3012 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since May 16, 1990

National Provider Directory

National Provider Directory
Tax ID family
Fish River Rural Health7 organizations share this tax ID, including this one
Part of
Fish River Rural Health

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1757030400000",
    "number": "1962291468",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 BOLDUC AVE",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047431602",
            "telephone_number": "207-834-2007"
        }
    ],
    "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": "2025-09-05",
        "certification_date": "2025-09-05",
        "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": "207-316-9699"
    },
    "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 Fort Kent, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.