- Practice location
- 2066 Route 32, Modena, NY 12548
- Phone
- 845-883-7469
- Fax
- 845-883-7530
- Last updated
- April 20, 2018
Martins Foods Of South Burlington LLC is a healthcare organization based in Modena, NY. Martins Foods Of South Burlington LLC practices in Modena, NY. The NPI Number for Martins Foods Of South Burlington LLC is 1932390242 and holds a License No. 028567 (NY). The current practice location address for Martins Foods Of South Burlington LLC is 2066 Route 32, Modena, NY 12548 and can be reached out via phone at 845-883-7469 and via fax at 845-883-7530.
Provider Profile Details
- NPI Number
- 1932390242
- Provider Name
- Martins Foods Of South Burlington LLC
- Provider Entity Type
- Organization
- Address
- 2066 Route 32, Modena, NY 12548
- Phone Number
- 845-883-7469
- Fax Number
- 845-883-7530
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Michael Vail · President And Manager · 207-885-7454
- Provider Enumeration Date
- August 5, 2007
- Last Update Date
- April 20, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2066 Route 32
Modena, NY 12548 - City
- Modena
- State
- New York
- Zip
- 12548
- Phone Number
- 845-883-7469
- Fax Number
- 845-883-7530
Provider Business Mailing Address Details
- Address
- Po Box 1000
Ms 3000
Portland, ME 04104-5005 - City
- Portland
- State
- ME
- Zip
- 04104-5005
- Phone Number
- 207-885-7454
- Fax Number
- 704-645-6531
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- License Number (2)
- 028567
- License State (2)
- NY
- Taxonomy (2)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Pharmacy, Community/Retail Pharmacy providers near Modena, NY
View all Pharmacy, Community/Retail Pharmacy providers in Modena →Frequently Asked Questions
What is the NPI number of Martins Foods Of South Burlington LLC?
The NPI number of Martins Foods Of South Burlington LLC is 1932390242. It was assigned on August 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Martins Foods Of South Burlington LLC?
Martins Foods Of South Burlington LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in NY under license number 028567.
Where does Martins Foods Of South Burlington LLC practice?
The practice location is 2066 Route 32, Modena, NY 12548. The office can be reached at 845-883-7469 (phone) or 845-883-7530 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932390242 directly on the NPPES registry website.