MAXI DRUG INC (NPI# 1659471084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659471084 |
| Entity Type | Organization |
| Organization Name | MAXI DRUG INC |
| Other Organization Name | RITE AID PHARMACY 10166 |
| Practice Address |
467 Broadway Revere MA 02151-3030 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 7812898656 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2011-07-22 |
| 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 |
3135 | MA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER-COMMERCIAL NUMBER | 2238992 | 01 | |
| MA | 0402737 | 05 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 10166 | 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 |
| 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 |
| 1548360985 | Maxi Drug Inc | Durable Medical Equipment & Medical Supplies | 163 South Street, Pittsfield, MA 01201-6988 | 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 |
467 BROADWAY |
| City | REVERE |
| State | MA |
| Zip Code | 02151-3030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811546583 | Joanne Bairos | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2019-09-05 |
| 1376090175 | Lisa Le | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2016-09-09 |
| 1487030698 | Goldrosa Vuong | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2015-08-11 |
| 1336553882 | Katelynn Jarvis | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2014-06-12 |
| 1548580244 | Edwige Kounga Kamdem | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2010-06-03 |
| 1023337748 | James Paul Kraemer | Pharmacist | 467 Broadway, Revere, MA 02151-3030 | 2010-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558853580 | Carla Richman | Behavioral Analyst | 29 Arnold Street, Revere, MA 02151 | 2018-06-05 |
| 1558859850 | Citizens Physical Therapy Inc | Clinic/Center | 221 Beach St, Revere, MA 02151 | 2018-04-23 |
| 1396254892 | Holness Home Care | Home Health | 959 Revere Beach Parkway, Revere, MA 02151 | 2017-09-27 |
| 1841709938 | Stefanie Finocchio-durham | Acupuncturist | 107 Pearl Ave, Apt 3, Revere, MA 02151 | 2017-09-21 |
| 1174064265 | Hope Noelle Crowe | Behavioral Analyst | 164 Winthrop Parkway, Revere, MA 02151 | 2017-03-09 |
| 1033660469 | Driss Bahraoui | Interpreter | 21 Thornton St #1, Revere, MA 02151 | 2016-10-20 |
| 1568910081 | Lindsey J. Ellermeyer | Student in an Organized Health Care Education/Training Program | Revere Community Counseling, 265 Beach Street, Revere, MA 02151 | 2016-09-13 |
| 1851743470 | Jacqueline Galvez | Counselor | 252 Proctor Ave # 3, Revere, MA 02151 | 2016-07-07 |
| 1518321090 | Kathleen Elizabeth Pellecchia | Health Educator | 454 Broadway Fl 3, Revere, MA 02151 | 2016-04-11 |
| 1780098814 | David A Gross | Internal Medicine | Mgh Revere, 385 Broadway, Revere, MA 02151 | 2014-06-17 |
| Find all providers in zip 02151 | ||||
| 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 |
|---|---|---|---|---|
| 1760804397 | Seaside Pharmacy Inc. | Pharmacy | 169 Shirley Ave, Revere, MA 02151-3256 | 2014-01-16 |
| 1366795809 | Stop and Shop Supermarket Co LLC | Pharmacy | 40 Furlong Dr, Revere, MA 02151-4006 | 2012-10-22 |
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| 1285103804 | Dostert and Dove,llc | Pharmacy | 161 Eastern Ave Ste 6, Lynn, MA 01902-1307 | 2018-11-14 |
| 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.