Shiretown Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH50001446 Issued in ME

Legal business name

SHIRETOWN PHARMACY LLC

Doing business as

Shiretown Pharmacy

Practice address

101 Military St
Houlton, ME 04730-2511

Phone

(207) 532-5980

Fax

(207) 532-5981

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Charles OuelletteNPI 1154621696

Title

Owner

Phone

(207) 834-2880

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Shiretown Pharmacy Doing business as

Locations

Practitioners 1

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

• Charles J Ouellette, RPH

  • Pharmacist
  • Fort Kent, ME
  • NPI 1154621696
  NPD Authorized official

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1962775726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "city": "FORT KENT",
            "state": "ME",
            "postal_code": "047430189",
            "telephone_number": "207-532-5980",
            "fax_number": "207-532-5981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MILITARY ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047302511",
            "telephone_number": "207-532-5980",
            "fax_number": "207-532-5981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRETOWN PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "OUELLETTE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-834-2880"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "ME",
            "license": "PH50001446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962775726",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2133708",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shiretown Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Violeta Q. Seiler
• Linda Haines Self, FNP-C
• Susan E. Sewell
• Debra E. Shaw, MHRT-C
• Kara Sheldon
• Shiretown Solutions, LLC
• Geraldine E Smith, RN
• Larry J Sokolic, MD
• Southern Aroostook EMS Authority (Southern Aroostook EMS)
• Jan M Stairs

• Community/Retail Pharmacy in Houlton, ME
• Providers in Houlton, ME by specialty
• Community/Retail Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.