# MAINE VETERANS' HOMES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** MVH Pharmacy (External Non VA Business)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700125267
- **Authorized official:** JIM MCQUAID (CEO)
- **Authorized official phone:** (207) 622-0075

## Contact information

- **Practice address:** 460 CIVIC CENTER DR STE 1, AUGUSTA, ME 04330-7902
- **Practice address phone:** (207) 624-0200
- **Practice address fax:** (207) 624-0201
- **Mailing address:** 5 COMMUNITY DR, SUITE 1, AUGUSTA, ME 04330-8087
- **Mailing address phone:** (207) 624-0200
- **Mailing address fax:** (207) 624-0201

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 3336L0003X | Long Term Care Pharmacy | PH50001457 | ME | Yes |

## Other

- **Enumeration date:** 02/04/2013
- **Last updated:** 11/19/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 2008743 | NCPDP PROVIDER IDENTIFICATION NUMBER | — |