Martins Foods Of South Burlington LLC
Pharmacy, Community/Retail Pharmacy in Red Hook, NY. Organization (NPI-2).
NPI number1124136502
StatusActive
Last updated in NPPESSep 19, 2025
Details
- NPI
- 1124136502
- Entity type
- Organization (NPI-2)
- Legal business name
- Martins Foods Of South Burlington LLC
- Organization subpart
- No
- Enumeration date
- Aug 27, 2006
- Last updated
- Sep 19, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · DME SUPPLIER - PHARMACY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3336C0003X | Pharmacy, Community/Retail Pharmacy | 026163 | NY | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Other names
- Hannaford Food And Drug (Doing Business As)
Practice location
35 Hannaford DrRed Hook, NY 12571-1653
Phone 845-758-9331 · Fax 845-758-9322
Mailing address
Po Box 1000Ms 3000
Portland, ME 04104-5005
Phone 207-885-7454 · Fax 704-645-6531
Authorized official
Michael Vail
President And Manager
2078857454
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