MARTIN'S FOODS OF SOUTH BURLINGTON, LLC (NPI# 1104934454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104934454 |
| Entity Type | Organization |
| Organization Name | MARTIN'S FOODS OF SOUTH BURLINGTON, LLC |
| Other Organization Name | HANNAFORD SUPERMARKET & PHARMACY |
| Practice Address |
935 Shelburne Rd Ste 300 South Burlington VT 05403-6992 |
| Mailing Address |
Po Box 1000 Ms 3000 Portland ME 04104-5005 |
| Practice Telephone | 8028631842 |
| Practice Fax Number | 8028646409 |
| Mailing Telephone | 2078857454 |
| Mailing Fax Number | 7046456531 |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2020-03-26 |
| 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 |
Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 6677 | 05 | |
| VT | 0006677 | 05 | |
| PK | 2101342 | 01 |
| Other Name | Type Code |
|---|---|
| HANNAFORD FOOD AND DRUG | Doing Business As Name - Organization |
| Hannaford Supermarket & Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558982652 | Martin's Foods of South Burlington, LLC | Durable Medical Equipment & Medical Supplies | 808 West Chestnut Street, Rome, NY 13440 | 2020-04-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | MARTIN'S FOODS OF SOUTH BURLINGTON, LLC | 145 Pleasant Hill Road, Legal Dept., Scarborough, ME 04074 |
| Street Address |
935 SHELBURNE RD STE 300 |
| City | SOUTH BURLINGTON |
| State | VT |
| Zip Code | 05403-6992 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659938975 | Josee-ann Guay | Student in an Organized Health Care Education/Training Program | 1060 Hinesburg Road Suite 201, South Burlington, VT 05403 | 2019-05-22 |
| 1821556390 | Alexander Taite Carpenter | Specialist/Technologist | 2069 Williston Road Ap #2, South Burlington, VT 05403 | 2019-03-04 |
| 1144732785 | Molly Koch Parker | Dietitian, Registered | 1233 Shelburne Rd Ste D2, South Burlington, VT 05403 | 2017-11-03 |
| 1497273007 | Marlena Anya Pecora | Acupuncturist | 368 Dorset St # 3, South Burlington, VT 05403 | 2017-09-03 |
| 1467908525 | Rinaben P Patel | Pharmacist | 39 Hinesburd Road, South Burlington, VT 05403 | 2016-08-29 |
| 1770949950 | Tara Flor | Chiropractor | 30 Farrell St Ste 100, South Burlington, VT 05403 | 2016-01-04 |
| 1356716187 | Frank Breen | Counselor | 163 Hinesburg Road, South Burlington, VT 05403 | 2015-12-04 |
| 1063808210 | Lisa C Harrington | Registered Nurse | Stone House Associates, 27 Rye Circle, South Burlington, VT 05403 | 2015-04-14 |
| 1083018626 | Jessica Jablonski | Speech-Language Pathologist | 2 Baldwin Ave, South Burlington, VT 05403 | 2014-10-10 |
| 1538590567 | Vasta Physical Therapy, Inc | Physical Therapist | 340 Dorset Street, Suite 2, South Burlington, VT 05403 | 2013-12-02 |
| Find all providers in zip 05403 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730602335 | Walgreen Co | Pharmacy | 621 Route 22a N, Fair Haven, VT 05743-9239 | 2017-07-25 |
| 1295141919 | Remedies Pharmacy LLC | Pharmacy | 308 Route 2, South Hero, VT 05486-4216 | 2014-07-02 |
| 1316374002 | Vermont Cvs Pharmacy LLC | Pharmacy | 1634 Us Route 302, Barre, VT 05641-2322 | 2013-09-26 |
| 1184057382 | Jolly Bee Partners Dba Putney Pharmacy | Pharmacy | 4 Kimball Hill Road, Putney, VT 05346-0508 | 2013-08-12 |
| 1104183524 | Kph Healthcare Services, Inc. | Pharmacy | 47 Executive Drive, Shelburne, VT 05482 | 2012-04-23 |
| 1427331784 | Kph Healthcare Services, Inc. | Pharmacy | 10212 Route 116, Hinesburg, VT 05461-9725 | 2011-09-23 |
| 1235443441 | Montpelier Pharmacy Inc | Pharmacy | 413 Canal St, Brattleboro, VT 05301-6619 | 2010-07-29 |
| 1831417690 | Kph Healthcare Services, Inc. | Pharmacy | 151 Vermont Route 12 South, Randolph, VT 05060-9237 | 2010-05-04 |
| 1316195969 | Pharmacy Network | Pharmacy | 158 Brentwood Dr, Ste 7, Colchester, VT 05446-7994 | 2008-09-08 |
| 1215135702 | Kph Healthcare Services, Inc. | Pharmacy | 407 Broad St, Lyndonville, VT 05851-5600 | 2007-07-05 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH BURLINGTON |
| Zip Code | 05403 |
Please comment or provide details below to improve the information on MARTIN'S FOODS OF SOUTH BURLINGTON, LLC.
| 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.