Cvs State Capital LLC
Cvs State Capital LLC is a healthcare organization registered as Pharmacy in Bangor, ME, holding Type 2 (organization) NPI 1104848852 since 2006. The authorized official on file is Susan Colbert, Sr. Director, Payer Relations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104848852 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Cvs State Capital LLC |
| Other name | <Unavail> |
| Practice address | 60 LONGVIEW DR, Bangor, ME, 04401 |
| Phone | 2079459977 |
| Fax | 2079459977 |
| Enumeration date | 2006-07-24 |
| Last updated in NPPES | 2016-11-08 |
Authorized official
| Name | Susan Colbert |
|---|---|
| Title | Sr. Director, Payer Relations |
| Phone | 4017702751 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | Secondary | — | — |
| 3336C0003X | Community/Retail Pharmacy | Secondary | PH50001551 | ME |
| 333600000X | Pharmacy | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2037567 | Other | — | PK |
Copy-ready billing details
Provider: Cvs State Capital LLC NPI: 1104848852 Taxonomy: 333600000X (Pharmacy) Address: 60 LONGVIEW DR, Bangor, ME, 04401
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1588951511 | Kristine Stone | Individual | Pharmacist | Bangor, ME |
| 1073890794 | Andrew Hanscom | Individual | Pharmacist | Bangor, ME |
| 1609135169 | Nathaniel Breece | Individual | Pharmacist | Bangor, ME |
| 1184969727 | Hansol Park | Individual | Pharmacist | Bangor, ME |
| 1750715215 | Robert Whitmore | Individual | Pharmacist | Bangor, ME |
| 1407231558 | Chrysalis Wild | Individual | Pharmacist | Bangor, ME |
Verify this record
Cross-check NPI 1104848852 against the authoritative CMS record: view Cvs State Capital LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Cvs State Capital LLC?
Who is the authorized official for Cvs State Capital LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2016-11-08.