OrganizationActive
Indian Township Tribal Government
NPI 1619005493 · Community/Retail Pharmacy · Princeton, ME
Provider details
- NPI number
- 1619005493
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Passamaquoddy Health Center
- Organization subpart
- Yes
- Authorized official
- Andrea Hanson, Compliance Specialist(207) 796-2321
Specialties & taxonomies
Suppliers
- Clinic Pharmacy3336C0002X
Suppliers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
401 Peter Dana Point Road
Princeton, ME 04668-0097
Phone: (207) 796-2321
Fax: (207) 796-2422
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 97
Princeton, ME 04668-0097
Other names (DBA / former)
- Doing business as
- Passamaquoddy Health Center
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2020-09-28
- Certified
- 2020-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.