VICTORY DISTRIBUTORS LLC (NPI# 1578650248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578650248 |
| Entity Type | Organization |
| Organization Name | VICTORY DISTRIBUTORS LLC |
| Other Organization Name | HANNAFORD FOOD AND DRUG |
| Practice Address |
777 Rogers St Lowell MA 01852-4336 |
| Mailing Address |
Po Box 1000 Ms 3000 Portland ME 04104-5005 |
| Practice Telephone | 9784537257 |
| Practice Fax Number | 9784525686 |
| Mailing Telephone | 2078857454 |
| Mailing Fax Number | 7046456531 |
| Enumeration Date | 2006-10-06 |
| 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 |
DS89695 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 0497428 | 05 | |
| PK | 2039569 | 01 |
| Other Name | Type Code |
|---|---|
| HANNAFORD FOOD AND DRUG | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568647527 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 55 Russell St, Waltham, MA 02453-8517 | 2008-01-08 |
| 1578671822 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 79 Bicentennial Dr, Manchester, NH 03104 | 2006-08-28 |
| 1154439537 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 7 Kilton Rd, Bedford, NH 03110-6522 | 2006-08-27 |
| 1982712360 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 25 Robert Dr, South Easton, MA 02375-1356 | 2006-08-27 |
| 1700994183 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 333 Mass Ave, Lunenburg, MA 01462-1220 | 2006-08-27 |
| 1073621454 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 5 Gilbert St, N Brookfield, MA 01535-1409 | 2006-08-27 |
| 1437267812 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 637 Lowell St, Peabody, MA 01960-2318 | 2006-08-27 |
| 1245348622 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 859 Hanover St, Manchester, NH 03104-5419 | 2006-08-27 |
| 1528176906 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 301 Pleasant St, Dracut, MA 01826-4909 | 2006-08-27 |
| 1508974981 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 175 Coliseum Ave, Nashua, NH 03063-3201 | 2006-08-27 |
| Street Address |
777 ROGERS ST |
| City | LOWELL |
| State | MA |
| Zip Code | 01852-4336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124251251 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 777 Rogers St, Lowell, MA 01852-4336 | 2009-08-24 |
| 1770609778 | Kathleen M Whitney | Pharmacist | 777 Rogers St, Lowell, MA 01852-4336 | 2007-03-21 |
| 1619092673 | Roger John Lang IIi | Pharmacist | 777 Rogers St, Hannaford Food & Drug 327, Lowell, MA 01852-4336 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881244747 | Erin Elisabeth Burke | Specialist/Technologist | 424 Douglas Rd, Lowell, MA 01852 | 2019-09-12 |
| 1235799602 | Osvaldo Rivera | Social Worker | 77 East Merrimack Street Loweell Ma 01852, Lowell, MA 01852 | 2019-06-18 |
| 1003393620 | Erin Maureen Hurley | Social Worker | 34 Newhall Street #204, Lowell, MA 01852 | 2018-07-26 |
| 1699273540 | Laura Ardila | Registered Nurse | 10 Linden St, Lowell, MA 01852 | 2018-01-25 |
| 1285153692 | Ashley Holmes | Counselor | 77 E Merrimack Street, Lowell, MA 01852 | 2017-09-18 |
| 1932627155 | Veronica H Birungi | Registered Nurse | 257 West Manchester Street, Lowell, MA 01852 | 2017-09-08 |
| 1255859245 | Kalyn Lee O'brien | Counselor | 77 E Merrimack St., Lowell, MA 01852 | 2017-08-30 |
| 1912424920 | Danielle Dirton | Behavior Technician | 106 Lundberg St. Unit 10, Lowell, MA 01852 | 2017-08-30 |
| 1770007072 | Leena Chann | Registered Nurse | 166 Central St., Lowell, MA 01852 | 2017-07-28 |
| 1942724257 | Stephanie Catherine Joubert | Registered Nurse | 166 Central Street, Lowell, MA 01852 | 2017-07-28 |
| Find all providers in zip 01852 | ||||
| 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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| 1326563586 | Walgreen Co | Pharmacy | 121 Church St, Lowell, MA 01852-2623 | 2017-08-09 |
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| 1225683576 | Cvs Pharmacy Inc | Pharmacy | 793 Iyannough Rd, Hyannis, MA 02601-5027 | 2019-08-05 |
| 1639732001 | Health First Pharmacy Corp | Pharmacy | 855 Worcester Rd Ste 5, Framingham, MA 01701-5248 | 2019-04-20 |
| 1992275259 | Rodeanpharma LLC | Pharmacy | 105 E Main St Unit A, Milford, MA 01757-2709 | 2018-11-29 |
| 1285103804 | Dostert and Dove,llc | Pharmacy | 161 Eastern Ave Ste 6, Lynn, MA 01902-1307 | 2018-11-14 |
| 1336635614 | Bidmc Pharmacy, Inc. | Pharmacy | 364 Brookline Ave, Boston, MA 02215-5401 | 2018-07-10 |
| Find all providers with the same taxonomy | ||||
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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.