Organization
KENNEBEC PHARMACY AND HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN R ROYER (VICE-PRESIDENT OF PHARMACY SERVICES)
(207) 373-3300
Entity
Organization
Contact information
Practice address
43 LEIGHTON RD, AUGUSTA, ME 04330-7705
(207) 626-2726
(207) 626-8163
Mailing address
43 LEIGHTON RD, AUGUSTA, ME 04330-7705
(207) 626-2726
(207) 626-8163
Taxonomy
Speciality
Code
Description
License number
State
251F00000X
Home Infusion Agency
—
ME
332B00000X
Durable Medical Equipment & Medical Supplies
—
ME
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
—
ME
332BX2000X
Oxygen Equipment & Supplies (DME)
—
ME
333600000X
Pharmacy
—
ME
3336C0003X
Community/Retail Pharmacy
—
ME
3336H0001X
Home Infusion Therapy Pharmacy
—
ME
3336S0011X
Specialty Pharmacy
—
ME
335E00000X
Prosthetic/Orthotic Supplier
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017768
ANTHEM HOME INFUSION
ME
01
—
040456
ANTHEM DME
ME
05
—
129010001
—
ME
05
—
129010002
—
ME
01
—
2006294
NABP
ME
01
—
2173534
AETNA HOME INFUSION
ME
01
—
2354823
AETNA DME
ME
01
—
702221
HARVARD PILGRIM
ME
Enumeration date
07/28/2006
Last updated
09/23/2025
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