MAXI DRUG INC (NPI# 1639279060) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639279060 |
| Entity Type | Organization |
| Organization Name | MAXI DRUG INC |
| Other Organization Name | RITE AID PHARMACY 10381 |
| Practice Address |
620 Main Street Watertown CT 06795-2614 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 8602747559 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | JENNIFER M 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 |
1277 | CT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCPDP | 0716057 | 01 | |
| CT | 004136695 | 05 | |
| CT | MEDICAID DME | 004244472 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 10381 | 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 |
620 MAIN STREET |
| City | WATERTOWN |
| State | CT |
| Zip Code | 06795-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396232187 | Watertown Wellness Center LLC | Community/Behavioral Health | 116 Georgetown Drive, Watertown, CT 06795 | 2018-04-17 |
| 1134569833 | Kara Marie Iacoviello | Occupational Therapist | 18 Wilder St, Watertown, CT 06795 | 2013-06-27 |
| 1821348871 | Pamela D Siemon | Social Worker | 51 Depot St Ste 207, Watertown, CT 06795 | 2012-09-18 |
| 1073891222 | Alexander Pantelis Tinios | Student in an Organized Health Care Education/Training Program | 163 Townline Hwy, Watertown, CT 06795 | 2011-07-21 |
| 1083919757 | Connecticut Music Therapy Services, LLC | Music Therapist | 51 Depot St., Suite 214, Watertown, CT 06795 | 2011-01-11 |
| 1083841456 | Erica Lee Opromollo | Social Worker | 35 Scott Ave, Watertown, CT 06795 | 2009-06-12 |
| 1033306816 | Stone Chiropractic LLC | Chiropractor | 51 Depot Square, Watertown, CT 06795 | 2007-09-26 |
| 1174640205 | Sheila Whitman | Counselor | 686 Main Street, Watertown, CT 06795 | 2007-03-23 |
| 1225146848 | Ronald Joseph Dandrea | Internal Medicine | 51 Depot Street, Watertown, CT 06795 | 2006-08-25 |
| 1417344607 | Peter Anthony Ferrante | Podiatrist | 777 Echo Lake Rd Unit F, Watertown, CT 06795 | 2015-04-25 |
| Find all providers in zip 06795 | ||||
| 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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| 1700816576 | Walgreen Co. | Pharmacy | 929 Arsenal St, Watertown, NY 13601-2305 | 2006-07-04 |
| 1760412985 | Hy Vee Inc | Pharmacy | 1320 9th Ave Se, Watertown, SD 57201-5302 | 2006-07-04 |
| 1932700622 | Bethany Marie Holden | Pharmacy | 1201 29th St Se, Watertown, SD 57201-9179 | 2020-11-08 |
| 1669565263 | Chris S. Calender | Pharmacy | 161 Clinton St, Watertown, NY 13601 | 2006-10-02 |
| 1235238692 | Cvs Pharmacy Inc | Pharmacy | 189 Watertown St, Watertown, MA 02472-2571 | 2006-09-22 |
| 1326072547 | Aurora Pharmacy Inc | Pharmacy | 204 E Main St, Watertown, WI 53094-3748 | 2006-07-11 |
| 1285662742 | Prairie Lakes Healthcare System Inc | Pharmacy | 401 9th Ave Nw, Watertown, SD 57201-1548 | 2006-06-30 |
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| 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 | ||||
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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.