HANNAFORD BROS CO LLC (NPI# 1013025402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013025402 |
| Entity Type | Organization |
| Organization Name | HANNAFORD BROS CO LLC |
| Other Organization Name | HANNAFORD SUPERMARKET & PHARMACY |
| Practice Address |
295 Forest Ave Portland ME 04101-2018 |
| Mailing Address |
Po Box 1000 Ms 3000 Portland ME 04104-5005 |
| Practice Telephone | 2077615967 |
| Practice Fax Number | 2078794010 |
| Mailing Telephone | 2078857454 |
| Mailing Fax Number | 7046456531 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2018-07-19 |
| Authorized Official Name | MICHAEL VAIL (PRESIDENT AND MANAGER) |
| Authorized Official Telephone | 2078857454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH50000076 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2036218 | 01 | |
| ME | 999101379 | 05 |
| Other Name | Type Code |
|---|---|
| Hannaford Supermarket & Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932699774 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 50 Pigeon Hill Rd, Mechanic Falls, ME 04256 | 2018-05-17 |
| 1083036347 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 141 Portsmouth Ave, Exeter, NH 03833-2105 | 2014-01-06 |
| 1285079103 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 23 Snell Hill Rd, Turner, ME 04282-4400 | 2013-05-06 |
| 1366784357 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 145 Elm St, Camden, ME 04843-1908 | 2013-03-18 |
| 1457696031 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 38 Nh Route 25 Unit 5, Meredith, NH 03253-6335 | 2012-12-07 |
| 1114295169 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 149 Dublin St, Machias, ME 04654-3475 | 2011-12-06 |
| 1790068831 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 1425 Lake Shore Rd Unit D, Gilford, NH 03249-2236 | 2011-09-26 |
| 1205115243 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 8 Market St, West Lebanon, NH 03784-4407 | 2011-08-09 |
| 1972807089 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 86 Cottage St, Bar Harbor, ME 04609-1441 | 2011-01-04 |
| 1730497058 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 77 Western Ave, Hampden, ME 04444-1423 | 2010-09-21 |
| Street Address |
295 FOREST AVE |
| City | PORTLAND |
| State | ME |
| Zip Code | 04101-2018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053397760 | John A Pelletier | Neuromusculoskeletal Medicine & OMM | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2005-12-15 |
| 1750982633 | Nicole Peters Mediouni | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2020-11-05 |
| 1467079830 | Eric Payeur | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2020-07-01 |
| 1366087413 | Jessica Allen | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2019-11-13 |
| 1235525478 | Amy Verville | Pharmacist | 295 Forest Ave, Portland, ME 04101-2018 | 2015-04-14 |
| 1063827376 | Elwen Eaton | Pharmacy Technician | 295 Forest Ave, 2r Hannaford Plaza, Portland, ME 04101-2018 | 2014-06-25 |
| 1710173133 | Angela L Branda | Pediatrics | 295 Forest Ave, 2r, Portland, ME 04101-2018 | 2007-09-19 |
| 1033174693 | Paula Vokey | Social Worker | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2006-04-18 |
| 1558348763 | Laura Kelley | Pediatrics | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2005-12-29 |
| 1659357275 | Amy P Farb | Pediatrics | 295 Forest Ave, 2nd Floor, Portland, ME 04101-2018 | 2005-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306450655 | Jocylin Egan | Nurse Practitioner | 442 Congress Street, 2nd Floor, Portland, ME 04101 | 2020-09-03 |
| 1255963559 | Portcity Home Healthcare LLC | In Home Supportive Care | 525 Forest Avenue, Suite 8, Portland, ME 04101 | 2020-02-05 |
| 1578101929 | Mohamed Hassan Mohamed | Student in an Organized Health Care Education/Training Program | 75 Lancaster St Ste 218a, Portland, ME 04101 | 2019-12-17 |
| 1841855301 | Portland Opioid Health Home | Counselor | 48 Free St., Mezzanine Level, Portland, ME 04101 | 2019-05-09 |
| 1093379224 | Alexandra Strawbridge Maurer | Acupuncturist | 50 A Cove Street, Portland, ME 04101 | 2019-04-23 |
| 1245719541 | Scott J Whited | Nurse Practitioner | 216 Vaughan St., Mcgeachy Hall, Portland, ME 04101 | 2018-08-08 |
| 1144733064 | Alixandria Elaine Marie Winchell | Massage Therapist | One City Center, Portland, ME 04101 | 2017-11-14 |
| 1417473638 | Rachel S Schwaner | Occupational Therapist | 78 Danforth Street, Apartment 6, Portland, ME 04101 | 2017-08-18 |
| 1023538154 | Derina Boothroyd | Audiologist-Hearing Aid Fitter | 985 Forest Ave., Portland, ME 04101 | 2017-06-20 |
| 1881123297 | Mark Mccullough | Social Worker | 57 Exchange Street, Suite 403, Portland, ME 04101 | 2017-06-08 |
| Find all providers in zip 04101 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
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| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.