NPIMap

Organization Active NPI

Martins Foods of South Burlington LLC

Doing business as Hannaford Supermarket & Pharmacy

  • Community/Retail Pharmacy
  • Plattsburgh, NY
National Provider Identifier
1053604884
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
030749 Issued in NY
Legal business name
MARTINS FOODS OF SOUTH BURLINGTON LLC
Doing business as
Hannaford Supermarket & Pharmacy
Practice address
7 Pyramid Dr
Plattsburgh, NY 12901-6410
Phone
(518) 563-3179
Fax
(518) 563-3235
NPI assigned
May 26, 2011
Last updated
Sep 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Vail
Title
President and Manager
Phone
(207) 885-7454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 030749 NY Primary

Addresses

Primary practice location

7 Pyramid Dr
Plattsburgh, NY 12901-6410

Mailing address

PO Box 1000
Ms 3000
Portland, ME 04104-5005
Phone (207) 885-7454

Other names 1

  • Hannaford Supermarket & Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111014000381 NY DME Supplier - PharmacyDME Supplier - Grocery Store 7517085293 Practice locations: Plattburgh, NY
O20111031000005 NY Part B Supplier - Mass Immunization (Roster Biller Only) 7517085293 45 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Hartford, NY; New Windsor, NY; Niskayuna, NY; Oneonta, NY; Pawling, NY; Pine Bush, NY; Plattsburgh, NY; Queensbury, NY…

Other NPIs on the same Medicare enrollment 45

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 45

National Provider Directory

National Provider Directory
Tax ID family
Shop N Save Pharmacy60 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 15

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 15

Locations

7 Pyramid Dr
Plattsburgh, NY 12901
Phone (518) 563-3179

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1306368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1053604884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "address_2": "MS 3000",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045005",
            "telephone_number": "207-885-7454",
            "fax_number": "704-645-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PYRAMID DR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016410",
            "telephone_number": "518-563-3179",
            "fax_number": "518-563-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINS FOODS OF SOUTH BURLINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-26",
        "last_updated": "2025-09-19",
        "status": "A",
        "authorized_official_last_name": "VAIL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT AND MANAGER",
        "authorized_official_telephone_number": "207-885-7454"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "030749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hannaford Supermarket & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.