HANNAFORD BROS CO LLC (NPI# 1558479949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558479949 |
| Entity Type | Organization |
| Organization Name | HANNAFORD BROS CO LLC |
| Practice Address |
797 Roosevelt Trail Windham Mall North Windham ME 04062 |
| Mailing Address |
Po Box 1000 Ms 3000 Portland ME 04104-5005 |
| Practice Telephone | 2078928571 |
| Practice Fax Number | 2078926297 |
| Mailing Telephone | 2078857454 |
| Mailing Fax Number | 7046456531 |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2018-04-20 |
| 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 |
PH50000794 | ME | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 999101064 | 05 | |
| PK | 2036818 | 01 |
| 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 |
797 ROOSEVELT TRAIL WINDHAM MALL |
| City | NORTH WINDHAM |
| State | ME |
| Zip Code | 04062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396173878 | Lori A Fletcher | Occupational Therapist | 408 Gray Road, Windham Middle School, Windham, ME 04062 | 2013-10-22 |
| 1952631673 | Great Expectations | Early Intervention Provider Agency | 17 Veterans Memorial Drive, Windham, ME 04062 | 2009-12-31 |
| 1366689986 | Edgeco, LLC | Massage Therapist | 108 Tandberg Trail, Windham, ME 04062 | 2009-01-20 |
| 1245485390 | Cynthia Ann Grover | Counselor | 86 Tanenberg Trail, Smart Child and Family Services, Windham, ME 04062 | 2008-11-17 |
| 1902066277 | Edgeco LLC | Specialist | 108 Tandburg Trail, Windham, ME 04062 | 2008-06-11 |
| 1881811875 | John E. Wood | Counselor | 76 Tandberg Trl Unit 2a, Windham, ME 04062 | 2007-04-19 |
| 1184848509 | Howland W. Bickerstaff | Counselor | Danzig Counseling Services, 936 Roosevelt Trail, Windham, ME 04062 | 2007-04-13 |
| 1700953015 | Melanie P Fitzsimmons | Internal Medicine | 584 Roosevelt Trail, Windham, ME 04062 | 2006-11-29 |
| 1023109204 | Ted W Rogers | Chiropractor | 744 Roosevelt Trail, Windham Crossing Suite 205, Windham, ME 04062 | 2006-09-27 |
| 1285744367 | Cheryl L Klein | Counselor | 30 Hemon Cobb Rd, Windham, ME 04062 | 2006-08-30 |
| Find all providers in zip 04062 | ||||
| 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 |
|---|---|---|---|---|
| 1932721230 | Eric Edward Morse | Pharmacy | Wilsens Drug Store, 114 Front St, Bath, ME 04530 | 2020-05-11 |
| 1124687538 | Rx Associates LLC | Pharmacy | 711 Broadway Ste 1, Bangor, ME 04401-3225 | 2019-06-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | NORTH WINDHAM |
| Zip Code | 04062 |
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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.