KENNEBEC PHARMACY AND HOME CARE, LLC
NPI 1962098848
Durable Medical Equipment & Medical Supplies in South Portland, ME

Active since December 15, 2020
12 ATLANTIC PL UNIT A-12, SOUTH PORTLAND, ME 04106(207) 626-2130(207) 502-8030 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2026, Apr 29, 2021, Dec 15, 2020 (3 updates tracked since 2020).

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Accepts Insurance

About KENNEBEC PHARMACY AND HOME CARE, LLC

This page provides the complete NPI Profile along with additional information for Kennebec Pharmacy And Home Care, Llc, a provider established in South Portland, Maine operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1962098848 assigned on December 2020. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated April 2026. The authorized official of this NPI record is Ted Nathan Trebilcock (Controller)

NPI
1962098848 Verify this NPI
Provider Name
KENNEBEC PHARMACY AND HOME CARE, LLC
Other Name Type
(6)
Entity Type
Organization
Location Address
12 ATLANTIC PL UNIT A-12 SOUTH PORTLAND, ME 04106
Location Phone
(207) 626-2130
Location Fax
(207) 502-8030
Mailing Address
43 LEIGHTON RD AUGUSTA, ME 04330
Mailing Phone
(207) 626-2726
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-15-2020
Last Update Date
04-01-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO HSA Bronze 6000 - HMO
  • NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO
  • NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TED NATHAN TREBILCOCK

Authorized Official Title
CONTROLLER
Authorized Official Phone
(207) 626-2726

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
129010001MEDICAID (05)ME 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962098848, enumerated as an "organization" on December 15, 2020.

The provider is located at 12 ATLANTIC PL UNIT A-12 SOUTH PORTLAND, ME 04106 and the phone number is (207) 626-2130.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Harvard Pilgrim Health Care, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.