Organization · Type 2 NPI

Kennebec Pharmacy and Home Care, LLC

Durable Medical Equipment & Medical Supplies · South Portland, ME

NPI number 1962098848 Active

Practice location

12 Atlantic Pl Unit A-12
South Portland, ME 04106-2316

Call (207) 626-2130 Map

Fax (207) 502-8030

Mailing address

43 Leighton Rd
Augusta, ME 04330-7705

Specialties and licenses

Taxonomy	Code	License
Durable Medical Equipment & Medical Supplies Primary	332B00000X	None listed

Durable Medical Equipment & Medical Supplies: 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.

Other durable medical equipment & medical supplies providers in South Portland

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NPI record

NPI: 1962098848
Entity type: Organization (Type 2)
Issued: Dec 15, 2020
Last updated: Apr 1, 2026
Status: Active
Subpart: Yes of Kennebec Pharmacy & Home Care, LLC

Other names

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Kennebce Pharmacy & Home Care · doing business as
Kennebec Pharmacy & Home Care, LLC · doing business as
Kennebec Pharmacy & Home Care, LLC · doing business as

Authorized official

Ted Nathan Trebilcock
Controller
(207) 626-2726

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1962098848

Kennebec Pharmacy and Home Care, LLC's National Provider Identifier is 1962098848, issued on Dec 15, 2020. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in South Portland, ME. The record was last updated on Apr 1, 2026.