VICTORY DISTRIBUTORS, LLC (NPI# 1619100740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619100740 |
| Entity Type | Organization |
| Organization Name | VICTORY DISTRIBUTORS, LLC |
| Other Organization Name | HANNAFORD FOOD & DRUG #8178 |
| Practice Address |
859 Hanover St Manchester NH 03104-5419 |
| Mailing Address |
Po Box 1000 Ms3000 Portland ME 04104-5005 |
| Practice Telephone | 6036274354 |
| Practice Fax Number | 6036265060 |
| Mailing Telephone | 2078857454 |
| Mailing Fax Number | 2078853121 |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2014-11-18 |
| Authorized Official Name | ELWEN EATON (PHARMACY INSURANCE SPECIALIST) |
| Authorized Official Telephone | 2078857454 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 0337-P | NH | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 30707674 | 05 | |
| NCPDP PROVIDER NUMBER | 3004544 | 01 |
| Other Name | Type Code |
|---|---|
| Hannaford Food & Drug #8178 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588897078 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 79 Bicentennial Drive, Manchester, NH 03104 | 2009-08-31 |
| 1245463876 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 255 Joseph E. Warner Blvd, Taunton, MA 02780 | 2009-08-31 |
| 1851524342 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 66-2 Drum Hill Shopping Center, Chelmsford, MA 01824 | 2009-08-31 |
| 1053544841 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 73 Fort Eddy Rd, Concord, NH 03301-7405 | 2009-08-27 |
| 1578796603 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 201 John Devine Dr, Manchester, NH 03103-4034 | 2009-08-24 |
| 1003049131 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 637 Lowell St, Peabody, MA 01960-2318 | 2009-08-24 |
| 1699908723 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 175 Coliseum Ave, Nashua, NH 03063-3201 | 2009-08-24 |
| 1609009737 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 5 Colby Ct, Bedford, NH 03110-6426 | 2009-08-24 |
| 1316170442 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 301 Pleasant St, Dracut, MA 01826-4909 | 2009-08-24 |
| 1124251251 | Victory Distributors, LLC | Durable Medical Equipment & Medical Supplies | 777 Rogers St, Lowell, MA 01852-4336 | 2009-08-24 |
| Street Address |
859 HANOVER ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104-5419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245348622 | Victory Distributors LLC | Durable Medical Equipment & Medical Supplies | 859 Hanover St, Manchester, NH 03104-5419 | 2006-08-27 |
| 1609477728 | Sarah Witham | Pharmacist | 859 Hanover St, Manchester, NH 03104-5419 | 2020-11-04 |
| 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 | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619494473 | Tlc Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 1621 S Highway 421 Ste 2, Manchester, KY 40962-7514 | 2017-08-23 |
| 1447776240 | Manchester Health Supplies | Durable Medical Equipment & Medical Supplies | 373 S Willow Street, #328, Manchester, NH 03103 | 2017-08-14 |
| 1477008480 | Manchester Down Home Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 500 Richmond Rd, Manchester, KY 40962-1294 | 2016-08-19 |
| 1487009387 | Rx Discount Pharmacy of Hazard Inc | Durable Medical Equipment & Medical Supplies | 509 Memorial Dr Ste 1, Manchester, KY 40962-6196 | 2016-04-28 |
| 1154736015 | Claim Path New Hampshire, LLC | Durable Medical Equipment & Medical Supplies | 816 Elm St # 259, Manchester, NH 03101-2105 | 2014-06-30 |
| 1861816654 | James Hradecky | Durable Medical Equipment & Medical Supplies | 816 Elm St # 248, Manchester, NH 03101-2105 | 2014-02-13 |
| 1134559768 | Manchester Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 359 Old Us Highway 421, Manchester, KY 40962-7538 | 2013-11-18 |
| 1528408705 | Midwest Practice Solutions Stl LLC | Durable Medical Equipment & Medical Supplies | 14585 Manchester Rd, Manchester, MO 63011-3963 | 2013-07-02 |
| 1982964672 | Billing Advocates, LLC | Durable Medical Equipment & Medical Supplies | 816 Elm St # 206, Manchester, NH 03101-2105 | 2012-05-29 |
| 1336430842 | Pennsylvania Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4035 N George Street Ext, Manchester, PA 17345-9203 | 2011-05-02 |
| 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.