Healthcare Provider Details

I. General information

NPI: 1538156807
Provider Name (Legal Business Name): COMMUNITY PHARMACIES LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2005
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

365 MAIN ST
GORHAM ME
04038-1309
US

IV. Provider business mailing address

PO BOX 528
AUGUSTA ME
04332-0528
US

V. Phone/Fax

Practice location:
  • Phone: 207-839-7892
  • Fax: 207-839-8058
Mailing address:
  • Phone: 207-621-0698
  • Fax: 207-622-0952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3336C0004X
TaxonomyCompounding Pharmacy
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License NumberPH50001405
License Number StateME

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier1538156807
Identifier TypeMEDICAID
Identifier StateME
Identifier Issuer
# 2
Identifier2126873
Identifier TypeOTHER
Identifier State
Identifier IssuerPK

VIII. Authorized Official

Name: MICHELLE CHAMBERLAND
Title or Position: DME OPS & PHARMACY SERVICES MANAGER
Credential:
Phone: 207-621-0698