MARTINS FOODS OF SOUTH BURLINGTON LLC (NPI# 1932390242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932390242 |
| Entity Type | Organization |
| Organization Name | MARTINS FOODS OF SOUTH BURLINGTON LLC |
| Practice Address |
2066 Route 32 Modena NY 12548 |
| Mailing Address |
Po Box 1000 Ms 3000 Portland ME 04104-5005 |
| Practice Telephone | 8458837469 |
| Practice Fax Number | 8458837530 |
| Mailing Telephone | 2078857454 |
| Mailing Fax Number | 7046456531 |
| Enumeration Date | 2007-08-05 |
| 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 |
028567 | NY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02920441 | 05 | |
| PK | 2069730 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083257224 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3 Via Rossi Way, Ballston Spa, NY 12020 | 2019-10-21 |
| 1083046221 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 259 Route 7 S, Milton, VT 05468-3868 | 2013-07-30 |
| 1679918379 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 586 Lower Pln, Bradford, VT 05033-9282 | 2013-05-08 |
| 1548507106 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 78 Oak St Ste 9, Walden, NY 12586-1051 | 2013-01-15 |
| 1407122922 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 3703 Ny Highway 43, West Sand Lake, NY 12196-1928 | 2012-03-29 |
| 1598031346 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 32 Route 82, Hudson, NY 12534-4449 | 2012-03-27 |
| 1194099457 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 43 Round Lake Rd, Ballston Lake, NY 12019-1147 | 2012-03-05 |
| 1700197100 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 141 Hannaford Sq, Bennington, VT 05201-1653 | 2010-06-30 |
| 1629394689 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 11140 Western Tpke, Esperance, NY 12066-3010 | 2010-04-15 |
| 1558443069 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 27 41 Ganesvoort Rd, S Glens Falls, NY 12803 | 2006-10-20 |
| Street Address |
2066 ROUTE 32 |
| City | MODENA |
| State | NY |
| Zip Code | 12548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255663845 | Michael Anson Jr. | Pharmacist | 2066 Route 32, Hannaford Food & Drug Pharmacy #8346, Modena, NY 12548 | 2010-02-05 |
| 1891023388 | John Wamsley | Pharmacist | 2066 Route 32, Modena, NY 12548 | 2009-11-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376804104 | Kristina Santos | Nurse Practitioner | 2044 State Route 32 Ste 4, Modena, NY 12548 | 2012-06-07 |
| 1346433802 | Peter T Burdash | Pharmacist | 2066 Rt 32, Modena, NY 12548 | 2007-08-19 |
| 1912981044 | Modena Family Practice, PC | Family Medicine | 2044 Route 32, Suite 4, Modena, NY 12548 | 2005-12-01 |
| 1992190722 | Health Quest Medical Practice, PC | Family Medicine | 2044 Route 32, Suite4, Modena, NY 12548 | 2015-03-30 |
| 1770518482 | Dawn M Dooley | Registered Nurse | 2044 Route 32, Suite 4, Modena, NY 12548 | 2006-07-11 |
| 1912938440 | Ronald G Hutchinson | Family Medicine | 2044 Route 32, Suite 4, Modena, NY 12548 | 2006-07-05 |
| 1447234604 | Francis C Mayle IIi | Family Medicine | 2044 Route 32, Suite 4, Modena, NY 12548 | 2005-12-01 |
| 1053977025 | Jerra Santaniello | Licensed Practical Nurse | 1820 State Route 32, Modena, NY 12548-5009 | 2019-05-15 |
| 1295168458 | Sonu Patel | Pharmacist | 2066 State Route 32, Modena, NY 12548-5014 | 2013-08-12 |
| 1093055014 | Carline Pompee | Registered Nurse | 2051 State Route 32, Modena, NY 12548-5017 | 2013-02-28 |
| Find all providers in zip 12548 | ||||
| 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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| 1477151512 | 101 Rx Pharmacy Inc | Pharmacy | 101 Rx Pharmacy Inc, 9718 101st Ave, Ozone Park, NY 11416 | 2020-10-12 |
| 1043818289 | Xuwei Lin | Pharmacy | 8218 14th Ave, Brooklyn, NY 11228-3114 | 2020-10-10 |
| 1043817463 | Angella Samson | Pharmacy | 1346 Granville Payne Ave, Brooklyn, NY 11239-2103 | 2020-10-08 |
| 1366059792 | Community Healthcare Network Inc. | Pharmacy | 999 Blake Ave Fl 1, Brooklyn, NY 11208-3535 | 2020-09-29 |
| 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.