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NPI 1376866830ActiveOrganization· Pharmacy· Freeport, ME
Pharmacy in Freeport, Maine, registered in NPPES in March 2010. The authorized official on file is Susan F. Colbert, Director, Managed Care Contract Adm. Medicare paid $104,450 for services to 400 patients in 2024.
Overview
| NPI | 1376866830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2010 |
| Last updated in NPPES | Jun 18, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (ME) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 400 |
|---|---|
| Services billed | 1,294 across 12 procedure codes |
| Paid by Medicare | $104,450 |