MAXI DRUG INC (NPI# 1164521449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164521449 |
| Entity Type | Organization |
| Organization Name | MAXI DRUG INC |
| Other Organization Name | RITE AID PHARMACY 10063 |
| Practice Address |
381 Cooley Street Springfield MA 01128-1113 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 4137832431 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2011-07-14 |
| 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 |
3009 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER COMMERCIAL NUMBER | 2234689 | 01 | |
| MA | 0407071 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 10063 | 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 |
381 COOLEY STREET |
| City | SPRINGFIELD |
| State | MA |
| Zip Code | 01128-1113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982664173 | Sai L Kadiyala | Dentist | 367 Cooley Street, Springfield, MA 01128 | 2006-03-23 |
| 1609430792 | Mvne 1 PC | Family Medicine | 415 Cooley St, Springfield, MA 01128 | 2019-04-24 |
| 1215349188 | Ying-hsien Huang | Dentist | 367 Cooley Street, Springfield, MA 01128 | 2014-05-28 |
| 1952432890 | Yolanda Rivera | Counselor | 14 Berard Cir, Springfield, MA 01128-1004 | 2007-03-09 |
| 1609420975 | Danielle Taylor Cassista | Occupational Therapist | 47 Teakwood Rd, Springfield, MA 01128-1056 | 2019-07-25 |
| 1639545056 | Aditiya Kumar | Pharmacist | 381 Cooley St, Springfield, MA 01128-1113 | 2015-08-19 |
| 1821601105 | Kevin Patrick Keough | Pharmacist | 381 Cooley St, Springfield, MA 01128-1113 | 2020-08-26 |
| 1295250413 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 381 Cooley St, Springfield, MA 01128-1113 | 2017-08-09 |
| 1902123276 | Mvne1 P.C. | Clinic/Center | 415 Cooley St, Unit #3, Springfield, MA 01128-1113 | 2010-04-27 |
| 1871888727 | Toi Ladonne Moses | Occupational Therapist | 633 Cooley St, Springfield, MA 01128-1115 | 2011-06-17 |
| Find all providers in zip 01128 | ||||
| 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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| 1770093122 | Genoa Healthcare, LLC | Pharmacy | 417 Liberty St Ste 1b, Springfield, MA 01104-3739 | 2017-10-11 |
| 1316483266 | Springfield Clinic, LLP | Pharmacy | 900 N 1st St Rm 4066, Springfield, IL 62702-3749 | 2017-01-17 |
| 1194277681 | Grove Professional Pharmacy, Inc | Pharmacy | 1636 S Glenstone Ave Ste 108, Springfield, MO 65804-1512 | 2016-10-31 |
| 1962852012 | Main Sail Enterprises South LLC | Pharmacy | 222 E Primrose St Ste B, Springfield, MO 65807-5233 | 2016-06-20 |
| 1588042816 | Main Sail Enterprises-downtown LLC | Pharmacy | 655 S Campbell Ave, Springfield, MO 65806-2901 | 2015-05-06 |
| 1972901189 | Fred's Stores of Tennessee Inc | Pharmacy | 1117 Lincoln Park Rd, Springfield, KY 40069 | 2014-12-22 |
| 1417363516 | Springfield Family Pharmacy, Inc | Pharmacy | 175 Carew St, Suite 100, Springfield, MA 01104 | 2014-07-09 |
| 1932529716 | Walgreen Co | Pharmacy | 440 E Tampa St Ste 100, Springfield, MO 65806-1131 | 2014-04-21 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 01128 |
Please comment or provide details below to improve the information on MAXI DRUG INC.
| 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.