=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902697212
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | COMMUNITY PHARMACIES, LLC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/15/2025
-----------------------------------------------------
Last Update Date | 06/19/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 75 MAIN ST
-----------------------------------------------------
City | BUCKSPORT
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04416-4025
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-469-7030
-----------------------------------------------------
Fax | 207-469-7035
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 528
-----------------------------------------------------
City | AUGUSTA
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04332-0528
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-621-0695
-----------------------------------------------------
Fax | 207-622-3264
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DME OPERATIONS & PHARMACY SERVICES
-----------------------------------------------------
Name | MICHELLE CHAMBERLAND
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 207-621-0698
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3336L0003X
-----------------------------------------------------
Taxonomy Name | Long Term Care Pharmacy
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------