HANNAFORD BROS CO LLC (NPI# 1013025360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013025360 |
| Entity Type | Organization |
| Organization Name | HANNAFORD BROS CO LLC |
| Other Organization Name | HANNAFORD SUPERMARKET & PHARMACY |
| Practice Address |
1133 Union St Bangor ME 04401-3012 |
| Mailing Address |
Po Box 1000 Ms 3000 Portland ME 04104-5005 |
| Practice Telephone | 2079453772 |
| Practice Fax Number | 2079428820 |
| Mailing Telephone | 2078857454 |
| Mailing Fax Number | 7046456531 |
| Enumeration Date | 2006-08-28 |
| 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 |
PH50000818 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 999010064 | 05 | |
| PK | 2036838 | 01 |
| Other Name | Type Code |
|---|---|
| Hannaford Supermarket & Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932699774 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 50 Pigeon Hill Rd, Mechanic Falls, ME 04256 | 2018-05-17 |
| 1083036347 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 141 Portsmouth Ave, Exeter, NH 03833-2105 | 2014-01-06 |
| 1285079103 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 23 Snell Hill Rd, Turner, ME 04282-4400 | 2013-05-06 |
| 1366784357 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 145 Elm St, Camden, ME 04843-1908 | 2013-03-18 |
| 1457696031 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 38 Nh Route 25 Unit 5, Meredith, NH 03253-6335 | 2012-12-07 |
| 1114295169 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 149 Dublin St, Machias, ME 04654-3475 | 2011-12-06 |
| 1790068831 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 1425 Lake Shore Rd Unit D, Gilford, NH 03249-2236 | 2011-09-26 |
| 1205115243 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 8 Market St, West Lebanon, NH 03784-4407 | 2011-08-09 |
| 1972807089 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 86 Cottage St, Bar Harbor, ME 04609-1441 | 2011-01-04 |
| 1730497058 | Hannaford Bros Co LLC | Durable Medical Equipment & Medical Supplies | 77 Western Ave, Hampden, ME 04444-1423 | 2010-09-21 |
| Street Address |
1133 UNION ST |
| City | BANGOR |
| State | ME |
| Zip Code | 04401-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467933804 | Courtney Perry | Student in an Organized Health Care Education/Training Program | 1133 Union St, Bangor, ME 04401-3012 | 2018-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184222523 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Longview Dr, Bangor, ME 04401 | 2020-10-16 |
| 1033737937 | Daniel John Phulman | Counselor | 202 Exchange Street, Bangor, ME 04401 | 2020-07-08 |
| 1770104358 | Elizabeth Sarah Caruson | Physician Assistant | 417 State Street Webber Medical Building, East St, Ste. 121, Bangor, ME 04401 | 2020-05-05 |
| 1053961300 | Erika Dean | Occupational Therapist | 84 Sylvan Rd., Bangor, ME 04401 | 2019-09-18 |
| 1942853635 | Wildworks Therapy, Pllc | Occupational Therapist | 123 Mt Hope Ave, Bangor, ME 04401 | 2019-07-22 |
| 1255999173 | Jessica Arbisi | Physician Assistant | 1 Northeast Drive, Bangor, ME 04401 | 2019-06-05 |
| 1699232041 | Ehab Khamis Elhefnawi | Anesthesiology | Emmc Anesthesia Professional Service, 489 State Street, Bangor, ME 04401 | 2019-02-21 |
| 1477028884 | Zvorufura Makura | Otolaryngology | 885 Union Street, Ste 145, Bangor, ME 04401 | 2018-10-11 |
| 1255826541 | Lindsey M Fields | Optometrist | 955 Broadway Eye Center Northeast Dba Northeast Eyecare, Bangor, ME 04401 | 2018-06-28 |
| 1992211338 | Debra J Mcintyre | Counselor | 157 Park Street, #5, Bangor, ME 04401 | 2017-12-21 |
| Find all providers in zip 04401 | ||||
| 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 |
|---|---|---|---|---|
| 1124687538 | Rx Associates LLC | Pharmacy | 711 Broadway Ste 1, Bangor, ME 04401-3225 | 2019-06-10 |
| 1235233081 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 35 N Main St, Bangor, PA 18013-1912 | 2006-09-12 |
| 1104848852 | Cvs State Capital LLC | Pharmacy | 60 Longview Dr, Bangor, ME 04401-3629 | 2006-07-24 |
| 1619396876 | Penobscot Community Health Center | Pharmacy | 1012 Union St, Bangor, ME 04401 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1366916025 | Waterville Pharmacy | Pharmacy | 20 Concourse W, Waterville, ME 04901 | 2019-01-16 |
| 1871076117 | Aroostook Apothecary LLC | Pharmacy | 73 Presque Isle Road, Ashland, ME 04732 | 2018-09-12 |
| 1518481134 | Aroostook Pharmacy Inc. | Pharmacy | 182 Market St Ste 2, Fort Kent, ME 04743-1514 | 2017-07-26 |
| 1487067997 | Seaside Pharmacy | Pharmacy | 59 School Street, Stonington, ME 04681 | 2014-06-03 |
| 1609216498 | Dirigo Drug LLC | Pharmacy | 1144 Main Street, Clinton, ME 04927 | 2013-06-26 |
| 1790077477 | Bedard Pharmacy, Inc. | Pharmacy | 359 Minot Ave Ste B, Auburn, ME 04210-4329 | 2011-05-12 |
| 1255648689 | Jensen's Pharmacy | Pharmacy | 91 Camden St Ste 105, Rockland, ME 04841-2421 | 2010-09-07 |
| 1780913111 | M Drug LLC | Pharmacy | 33 Whiting Hill Rd Ste 4, Brewer, ME 04412-1022 | 2009-12-14 |
| 1790010098 | Winslow Rx | Pharmacy | 20 Garland Rd, Winslow, ME 04901-0600 | 2009-10-05 |
| 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.