VICTORY DISTRIBUTORS LLC (NPI# 1578671822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578671822 |
Entity Type | Organization |
Organization Name | VICTORY DISTRIBUTORS LLC |
Practice Address |
79 Bicentennial Dr Manchester NH 03104 |
Mailing Address |
Po Box 1000 Ms 3000 Portland ME 04104-5005 |
Practice Telephone | 6036442204 |
Practice Fax Number | 6036660600 |
Mailing Telephone | 2078857454 |
Mailing Fax Number | 7046456531 |
Enumeration Date | 2006-08-28 |
Last Update Date | 2018-04-20 |
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 |
0336 | NH | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | 3080809 | 05 | |
NH | 30004278 | 05 | |
PK | 2053025 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568647527 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 55 Russell St, Waltham, MA 02453-8517 | 2008-01-08 |
1578650248 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 777 Rogers St, Lowell, MA 01852-4336 | 2006-10-06 |
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 |
79 BICENTENNIAL DR |
City | MANCHESTER |
State | NH |
Zip Code | 03104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285235184 | Donna Fortin | Pharmacist | 79 Bicentennial Dr, Manchester, NH 03104-1306 | 2020-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
Find all providers in zip 03104 |
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 |
---|---|---|---|---|
1043776768 | Jdl Consulting LLC | Pharmacy | 118 Clay County Shopping Ctr, Manchester, KY 40962-1299 | 2019-02-18 |
1104291707 | Manchester Pharmacy & Medical | Pharmacy | 4310 N George Street Ext, Manchester, PA 17345-1307 | 2015-12-08 |
1457693822 | Morgans Professional Pharmacy LLC | Pharmacy | 280 Richmond Rd, Manchester, KY 40962-1209 | 2013-03-22 |
1740525773 | Clay Community Pharmacy LLC | Pharmacy | 118 Clay Co S/c, Manchester, KY 40962 | 2012-12-03 |
1447557632 | Qualicare Pharmacy LLC | Pharmacy | 342 Main St., Manchester, CT 06040 | 2011-02-24 |
1871676130 | Cvs Manchester Nh, L.L.C. | Pharmacy | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2006-10-23 |
1063595320 | Cvs Manchester Nh LLC | Pharmacy | 788 S Willow St, Manchester, NH 03103-4018 | 2006-10-23 |
1245325844 | Blake Pharmacy, Inc. | Pharmacy | 35 E Second St, Manchester, OH 45144-1301 | 2006-10-03 |
1881787257 | Southern Family Markets LLC | Pharmacy | 2050 Hillsboro Blvd, Manchester, TN 37355-7306 | 2006-09-30 |
1033743109 | Manchester Prescription Center, LLC | Pharmacy | 1668 S Highway 421, Manchester, KY 40962-7514 | 2020-02-27 |
Find all providers in MANCHESTER |
City | MANCHESTER |
Zip Code | 03104 |
Please comment or provide details below to improve the information on VICTORY DISTRIBUTORS 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.