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

Q: 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.

Q: 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.

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: August 02, 2026.

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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

Phone(207) 992-4100

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

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Other Identifiers 2

Medicaid131160301ME

Other2037653Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTINE ANN CRITTENDEN RICHARD LCSW

Social Worker (Clinical)