Maxi Green Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

380001860 Issued in VT

Legal business name

MAXI GREEN INC

Practice address

499 Canal Street
Unit # 3
Brattleboro, VT 05301

Phone

(802) 257-4204

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Jennifer Zorek

Title

Manager Online Adjudication

Phone

(717) 975-5937

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 10315 Doing business as

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Judith A Brennan, PHARMD

  • Pharmacist
  • Brattleboro, VT
  • NPI 1770097099
  NPD (past)
• Philip Kramer

  • Pharmacist
  • Brattleboro, VT
  • NPI 1538616776
  NPD (past)
• Randall G Snyder

  • Pharmacist
  • Brattleboro, VT
  • NPI 1568761948
  NPD (past)
• Sampson Tona, PHARMD

  • Pharmacist
  • Brattleboro, VT
  • NPI 1548555352
  NPD (past)
• Mark D Littlewood, RPH

  • Pharmacist
  • Shelburne Falls, MA
  • NPI 1750870689
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334102400000",
    "number": "1114933322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 CANAL STREET",
            "address_2": "UNIT # 3",
            "city": "BRATTLEBORO",
            "state": "VT",
            "postal_code": "05301",
            "telephone_number": "802-257-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXI GREEN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-04-11",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "MANAGER ONLINE ADJUDICATION",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "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": "VT",
            "license": "380001860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4701860",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006664",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 10315",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Matson, BA
• Martina Mattison, M.ED
• Monica Christina Mattocks, PTA
• Jonathan Mattoon
• Sally Louise Mattson, M.ED
• Joshua Keefe Maxson
• Judith Howard McBean, MD
• Megan C McBurnie, APN
• Anne McCandless
• David McCormack

• All providers in Brattleboro, VT
• Community/Retail Pharmacy in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.