MAXI DRUG INC (NPI# 1790884062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790884062 |
Entity Type | Organization |
Organization Name | MAXI DRUG INC |
Other Organization Name | RITE AID PHARMACY 10386 |
Practice Address |
1619 Post Road Fairfield CT 06824-5910 |
Mailing Address |
200 Newberry Commons Etters PA 17319-9363 |
Practice Telephone | 2032591894 |
Mailing Telephone | 7177612633 |
Mailing Fax Number | 7179758659 |
Enumeration Date | 2006-09-22 |
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 |
1413 | CT | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NCPDP | 0715726 | 01 | |
CT | MEDICAID DME | 004244761 | 01 |
CT | 004136661 | 05 |
Other Name | Type Code |
---|---|
RITE AID PHARMACY 10386 | 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 |
1619 POST ROAD |
City | FAIRFIELD |
State | CT |
Zip Code | 06824-5910 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033490123 | Catherine Elizabeth Joyce | Pharmacist | 1619 Post Road, Fairfield, CT 06824 | 2011-09-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
Find all providers in zip 06824 |
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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1295209773 | Black Rock Pharmacy LLC | Pharmacy | 1838 Black Rock Tpke, Fairfield, CT 06825-3500 | 2019-01-17 |
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1295830040 | Connecticut Cvs Pharmacy LLC | Pharmacy | 1968 Black Rock Tpke, Fairway Plaza, Fairfield, CT 06825-3543 | 2006-09-14 |
1255434957 | Ohio Cvs Stores LLC | Pharmacy | 590 Nilles Rd, Fairfield, OH 45014-2606 | 2006-09-07 |
1033229794 | Raleys | Pharmacy | 3001 Travis Blvd., Fairfield, CA 94534-3442 | 2006-08-30 |
1184636359 | Coram Alternate Site Services, Inc. | Pharmacy | 4305 Mulhauser Rd, Suite 1, Fairfield, OH 45014-2263 | 2006-08-13 |
1639191232 | Garfield Beach Cvs LLC | Pharmacy | 2059 Cadenasso Dr, Fairfield, CA 94533-6806 | 2006-07-24 |
1235172024 | Longs Drug Stores California LLC | Pharmacy | 300 Travis Blvd, Fairfield, CA 94533-3804 | 2006-06-13 |
1154941870 | Summit Pharmacy of Iowa, Inc | Pharmacy | 300 W Burlington Ave, Fairfield, IA 52556-3241 | 2020-04-22 |
1720617509 | Melissa Adrian | Pharmacy | 1300 W Burlington Ave, Fairfield, IA 52556-2766 | 2020-04-03 |
Find all providers in FAIRFIELD |
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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.