WALTZ LONG TERM CARE PHARMACY – Long Term Care Pharmacy, NPI 1871672469
Long Term Care Pharmacy
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for WALTZ LONG TERM CARE PHARMACY
3, Business Parkway, Brunswick Industrial Park, Brunswick, Cumberland County, Maine, 04011, United States
SUITE 2
BRUNSWICK, ME 040117390
Phone: (207) 373-9077
Fax: (207) 373-9088
Type: Location
GUARDIAN PHARMACY OF MAINE DEPT 2374
P.O. BOX 11407
BIRMINGHAM, AL 352462374
Phone: (404) 810-0089
Fax: (404) 810-0094
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2015-03-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-07-31 (316 days ago).
Enrollment records
2
Earliest due date
2025-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20100930023873 | O | Pharmacy | ME | 2025-07-31 |
| O20150324002529 | O | Mass Immunization (Roster Biller Only) | ME | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 876 | 875 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 806 | 805 | $0 |
| 90480 | Admn sarscov2 vacc 1 dose | 394 | 394 | $0 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 393 | 393 | $0 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 70 | 70 | $0 |
Insurance plans in this area (ZIP 04011)
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