MAXI DRUG INC (NPI# 1164521431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164521431 |
| Entity Type | Organization |
| Organization Name | MAXI DRUG INC |
| Other Organization Name | RITE AID PHARMACY 10363 |
| Practice Address |
25 East High Street East Hampton CT 06424-1001 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 8602670732 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | JENNIFER ZOREK (MANAGER ONLINE ADJUDICATION) |
| Authorized Official Telephone | 7179755937 |
| 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 |
1201 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004136900 | 05 | |
| CT | MEDICAID DME | 004244662 | 01 |
| NCPDP | 0715687 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 10363 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932297355 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 130 Route 6a, Orleans Shopping Center, Orleans, MA 02653-3257 | 2006-10-11 |
| 1760570188 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 6272 State Route 9, Chestertown, NY 12817 | 2006-10-11 |
| 1841388261 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 592 College Highway, Suite 1, Southwick, MA 01077-9827 | 2006-10-11 |
| 1396833711 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 8a South Main Street, Terryville, CT 06786-6235 | 2006-10-11 |
| 1790886323 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 1504 Northampton Street, Holyoke, MA 01040-1938 | 2006-09-26 |
| 1659471084 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 467 Broadway, Revere, MA 02151-3030 | 2006-09-25 |
| 1083714422 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 180 Elm Street, Pittsfield, MA 01201-6500 | 2006-09-25 |
| 1891895231 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 25 Park Street, Lee, MA 01238-1701 | 2006-09-25 |
| 1457451890 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 25 Haven Street, Reading, MA 01867-2930 | 2006-09-25 |
| 1467552893 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 1 Padanarum Road, Suite B, Danbury, CT 06811-4832 | 2006-09-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Retail Food Store | MAXI DRUG INC | 6272 RT 9 CHESTERTOWN NY 12817 |
| Street Address |
25 EAST HIGH STREET |
| City | EAST HAMPTON |
| State | CT |
| Zip Code | 06424-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985638 | Kathryn Grissom | Behavior Technician | 95 Main Street, Suite 2, East Hampton, CT 06424 | 2020-09-07 |
| 1083228043 | Sadi-ann Duckett | Behavior Technician | 95 Main Streetm Suite 2, East Hampton, CT 06424 | 2020-09-06 |
| 1508385584 | Lauren Randall | Student in an Organized Health Care Education/Training Program | 5 Tarragon Drive, East Hampton, CT 06424 | 2017-09-11 |
| 1891967410 | Connecticut Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 54 East High Street, East Hampton, CT 06424 | 2008-03-25 |
| 1881805158 | Stewart S Danziger | Dentist | 190 East High St, East Hampton, CT 06424 | 2007-05-25 |
| 1255549457 | Jan Jacobson | Psychologist | 97 Quiet Woods Rd, East Hampton, CT 06424 | 2007-05-19 |
| 1174731608 | Joseph A Prignano | Dentist | Route 66, 14 East Hampton Road, Marlborough, CT 06424 | 2007-05-18 |
| 1184783631 | Tara Szeps | Nurse Practitioner | 54 E Hight Street, East Hampton, CT 06424 | 2006-12-08 |
| 1023105475 | Mariann Mankowski | Social Worker | 11 Town Line Dr, East Hampton, CT 06424 | 2006-10-06 |
| 1649365834 | Louisa L Foss | Counselor | 42 East High Street, Suite 201, East Hampton, CT 06424 | 2006-10-04 |
| Find all providers in zip 06424 | ||||
| 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 |
|---|---|---|---|---|
| 1407959257 | Cvs Albany LLC | Pharmacy | 38 Pantigo Rd, East Hampton, NY 11937-2604 | 2006-09-07 |
| 1457562423 | Park Place Chemist Inc | Pharmacy | 200 Pantigo Pl, Suite K, East Hampton, NY 11937-5920 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918666 | Orangerx Pharmacy Inc | Pharmacy | 240 Indian River Rd Unit F, Orange, CT 06477-3649 | 2020-09-26 |
| 1568072627 | Corporate Pharmacy Corp | Pharmacy | 4 Corporate Dr Ste 198, Shelton, CT 06484-6240 | 2020-08-04 |
| 1669094439 | Cx Pharmacy Corp | Pharmacy | 110 Commerce Dr Ste 250, Shelton, CT 06484-6259 | 2020-05-14 |
| 1932746591 | Nutmeg Pharmacy Moodus LLC | Pharmacy | 38 William F Palmer Rd, Moodus, CT 06469-1131 | 2019-12-03 |
| 1811531544 | Medical Center Pharmacy and Home Care Center, Inc. | Pharmacy | 600 Derby Avenue, West Haven, CT 06516 | 2019-11-06 |
| 1649814633 | Saint Francis Hospital and Medical Center | Pharmacy | 131 Coventry St Ste 2, Hartford, CT 06112-1548 | 2019-11-01 |
| 1336782804 | Royal Pharmacy LLC | Pharmacy | 1420 Meriden Rd, Waterbury, CT 06705-3632 | 2019-10-28 |
| 1760032627 | Westport Apothecary LLC | Pharmacy | 125 Post Rd E, Westport, CT 06880-3410 | 2019-09-12 |
| 1871146803 | Care Plus Rx Solutions LLC | Pharmacy | 250 Indian River Rd, Orange, CT 06477-3627 | 2019-07-18 |
| 1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
| Find all providers with the same taxonomy | ||||
| City | EAST HAMPTON |
| Zip Code | 06424 |
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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.