PENOBSCOT COMMUNITY HEALTH CENTER
NPI 1316136302
Pharmacy - Community/Retail Pharmacy in Old Town, ME

Active since October 16, 2007
242 BRUNSWICK ST, OLD TOWN, ME 04468(207) 992-4100(207) 827-8391 Get Directions Write a Review

NPPES record last updated: January 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Penobscot Community Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENOBSCOT COMMUNITY HEALTH CENTER (NPI 1316136302) is a healthcare organization registered as a community/retail pharmacy in Old Town, Maine and active in the NPI registry since October 2007. The organization lists Lori L. Dwyer, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1316136302
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NamePENOBSCOT COMMUNITY HEALTH CENTER
Location Address242 BRUNSWICK STOld Town, ME 04468-1613
Mailing AddressPo Box 2100Bangor, ME 04402-2100 · (207) 945-5247 · Fax (207) 827-8391
Fax(207) 827-8391
Organization SubpartNo
Authorized OfficialLori L. DwyerPresident & Ceo · (207) 992-9200
Enumeration DateOctober 16, 2007
Last NPPES UpdateJanuary 19, 2018
✔ NPI 1316136302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in ME · PH50001432
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedPharmacy · Clinic PharmacyTaxonomy 3336C0002X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
242 BRUNSWICK ST, Old Town, ME 04468

Other Identifiers 2

Medicaid131160301ME
Other2037653Pk

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penobscot Community Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

144

Medicare enrollment records show 144 clinicians reassign Medicare billing to Penobscot Community Health Center, which bills Medicare for the services they deliver. Of these, 12 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner68
Clinical Social Worker27
Family Practice14
Mental Health Counselor10
Pediatric Medicine8
Qualified Audiologist6
Internal Medicine3
Psychiatry2
5 other specialties6

Nearest to this location (20)

See all 144
Clinical Social Worker
NPI 1578220166
242 BRUNSWICK ST
Old Town, ME 04468
(207) 404-8100
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1174628440
242 BRUNSWICK STREET
Old Town, ME 04468
(207) 827-6128
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1548365810
242 BRUNSWICK ST
Old Town, ME 04468
(207) 827-6128
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1457639452
242 BRUNSWICK ST
Old Town, ME 04468
(207) 827-6128
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922952621
242 BRUNSWICK ST
Old Town, ME 04468
(207) 827-6128
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528264538
242 BRUNSWICK ST
Old Town, ME 04468
(207) 827-6128
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1487674859
242 BRUNSWICK ST
Old Town, ME 04468
(207) 827-6128
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1891467601
242 BRUNSWICK ST
Old Town, ME 04468
(207) 827-6128
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1366479875
242 BRUNSWICK ST
Old Town, ME 04468
(207) 827-6128
✔ PECOSSame address
Clinical Social Worker
NPI 1013343813
242 BRUNSWICK ST
Old Town, ME 04468
(207) 827-6128
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124600317
242 BRUNSWICK ST
Old Town, ME 04468
(207) 827-6128
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033937362
242 BRUNSWICK ST
Old Town, ME 04468
(207) 404-8100
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1902402290
203 STILLWATER AVE
Old Town, ME 04468
(207) 404-8000
✔ PECOS✔ Accepts Medicare0.6 mi
Clinical Social Worker
NPI 1205310638
203 STILLWATER AVE
Old Town, ME 04468
(207) 404-8000
✔ PECOS0.6 mi
Nurse Practitioner
NPI 1982398897
15 OLD KELLEY AVE
Orono, ME 04473
(207) 802-7732
✔ PECOS✔ Accepts Medicare5.1 mi
Nurse Practitioner
NPI 1386980829
900 BROADWAY
Bangor, ME 04401
(207) 907-3300
✔ PECOS✔ Accepts Medicare9.9 mi
Rheumatology
NPI 1174948608
900 BROADWAY
Bangor, ME 04401
(207) 907-3370
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1205942216
900 BROADWAY
Bangor, ME 04401
(207) 907-3300
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1932209426
404 STATE ST SUITE 310
Bangor, ME 04401
(207) 973-8853
✔ PECOS10 mi
Nurse Practitioner
NPI 1891591434
543 BROADWAY
Bangor, ME 04401
(207) 922-1300
✔ PECOS✔ Accepts Medicare10 mi
See all 144 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
15 services15 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
15 services15 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penobscot Community Health Center's NPI number?

The NPI number for Penobscot Community Health Center is 1316136302. It was assigned to this organization in the NPPES registry on October 16, 2007.

Where is Penobscot Community Health Center located?

Penobscot Community Health Center is located at 242 Brunswick St, Old Town, ME 04468. The listed phone number is (207) 992-4100.

What is Penobscot Community Health Center's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Is Penobscot Community Health Center enrolled in Medicare?

Yes. Penobscot Community Health Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penobscot Community Health Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 144 clinicians in 13 Medicare specialties reassign their Medicare billing to Penobscot Community Health Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (68), Clinical Social Worker (27) and Family Practice (14). Of these, 12 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Penobscot Community Health Center accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 45 other insurers list Penobscot Community Health Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Penobscot Community Health Center was last updated on January 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.