MAXI GREEN INC (NPI# 1477569689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477569689 |
| Entity Type | Organization |
| Organization Name | MAXI GREEN INC |
| Other Organization Name | RITE AID PHARMACY 10309 |
| Practice Address |
12 North Main Street Randolph VT 05060-1127 |
| Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
| Practice Telephone | 8027283722 |
| Mailing Telephone | 7177612633 |
| Mailing Fax Number | 7179758659 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2012-04-11 |
| 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 |
380003284 | VT | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 1006099 | 05 | |
| OTHER ID NUMBER-COMMERCIAL NUMBER | 4703434 | 01 |
| Other Name | Type Code |
|---|---|
| RITE AID PHARMACY 10309 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558372797 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 1823 Vt Route 107, #2, Bethel, VT 05032-9107 | 2006-08-11 |
| 1629084306 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 1127 North Avenue, Suite # 33, Burlington, VT 05401 | 2006-08-01 |
| 1750397964 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 1 Prince Lane, Bristol, VT 05443-1224 | 2006-07-31 |
| 1003822214 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 1184 Prim Road, Suite 2, Colchester, VT 05446-4449 | 2006-07-31 |
| 1285640490 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 213 Main Street, Ludlow Shopping Plaza, Ludlow, VT 05149 | 2006-07-31 |
| 1669488870 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 263 Court Street, Middlebury, VT 05753-8986 | 2006-07-31 |
| 1467468678 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 412 Broad Street, Lyndonville, VT 05851-8623 | 2006-07-31 |
| 1114933322 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 499 Canal Street, Unit # 3, Brattleboro, VT 05301 | 2006-07-31 |
| 1932115144 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 158 Cherry Street, Burlington, VT 05401 | 2006-07-31 |
| 1205842416 | Maxi Green Inc | Durable Medical Equipment & Medical Supplies | 502 Railroad Street, Stjohnsbury, VT 05819-1633 | 2006-07-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | MAXI GREEN INC. | 30 Hunter Lane, Camp Hill, PA 17011 |
| Street Address |
12 NORTH MAIN STREET |
| City | RANDOLPH |
| State | VT |
| Zip Code | 05060-1127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497003099 | Courtney Austin | Pharmacist | 12 North Main St., Randolph, VT 05060 | 2012-08-29 |
| 1851467658 | John Leonard Westbrook | Dentist | 1422 Vt Rt 66, Randolph, VT 05060 | 2006-11-27 |
| 1750470829 | Christopher Mclean Wilson | Dentist | 55 Central Street, Randolph, VT 05060 | 2006-10-12 |
| 1538170006 | Eric C Medved | Physical Therapist | 44 South Main Street, Randolph, VT 05060 | 2006-08-10 |
| 1295100048 | Ashley Shepard | Counselor | 11 N Main St, Randolph, VT 05060 | 2015-12-04 |
| 1326434713 | Emilija O Florance | Family Medicine | 44 S Main St, Randolph, VT 05060 | 2015-04-13 |
| 1891117545 | Penny Fossman | Registered Nurse | 44 S Main St, Randolph, VT 05060 | 2014-01-15 |
| 1053679266 | Clara Martin Center | Community/Behavioral Health | 11 Main Street, Randolph, VT 05060 | 2012-04-25 |
| 1770840829 | Andrea L. Larosa | Nurse Practitioner | 44 South Main Street, Box 2000, Randolph, VT 05060 | 2012-04-13 |
| 1043498561 | Jessica Schupp | Counselor | 11 Main Street, Randolph, VT 05060 | 2008-02-06 |
| Find all providers in zip 05060 | ||||
| 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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| 1942348867 | Morris County Drugs Inc | Pharmacy | 477 Route 10 East, Randolph, NJ 07869 | 2007-02-02 |
| 1891894259 | Cvs Pharmacy Inc | Pharmacy | 171 N Main St, Randolph, MA 02368-4630 | 2006-09-22 |
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|---|---|---|---|---|
| 1730602335 | Walgreen Co | Pharmacy | 621 Route 22a N, Fair Haven, VT 05743-9239 | 2017-07-25 |
| 1295141919 | Remedies Pharmacy LLC | Pharmacy | 308 Route 2, South Hero, VT 05486-4216 | 2014-07-02 |
| 1316374002 | Vermont Cvs Pharmacy LLC | Pharmacy | 1634 Us Route 302, Barre, VT 05641-2322 | 2013-09-26 |
| 1184057382 | Jolly Bee Partners Dba Putney Pharmacy | Pharmacy | 4 Kimball Hill Road, Putney, VT 05346-0508 | 2013-08-12 |
| 1104183524 | Kph Healthcare Services, Inc. | Pharmacy | 47 Executive Drive, Shelburne, VT 05482 | 2012-04-23 |
| 1427331784 | Kph Healthcare Services, Inc. | Pharmacy | 10212 Route 116, Hinesburg, VT 05461-9725 | 2011-09-23 |
| 1235443441 | Montpelier Pharmacy Inc | Pharmacy | 413 Canal St, Brattleboro, VT 05301-6619 | 2010-07-29 |
| 1316195969 | Pharmacy Network | Pharmacy | 158 Brentwood Dr, Ste 7, Colchester, VT 05446-7994 | 2008-09-08 |
| 1215135702 | Kph Healthcare Services, Inc. | Pharmacy | 407 Broad St, Lyndonville, VT 05851-5600 | 2007-07-05 |
| 1144428632 | Kph Healthcare Services, Inc. | Pharmacy | 957 Memorial Dr, Saint Johnsbury, VT 05819-9238 | 2007-07-05 |
| 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.