Martins Foods of South Burlington LLC
Organization Active NPI Community/Retail Pharmacy · Voorheesville, NY
NPI 1295889392 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1295889392
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 028651 (NY)
- Legal business name
- MARTINS FOODS OF SOUTH BURLINGTON LLC
- Practice address
- 5 Maple Rd
Voorheesville, NY 12186-9422 - Phone
- (518) 765-4399
- Fax
- (518) 765-3846
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Michael Vail
- Title
- President and Manager
- Phone
- (207) 885-7454
Other NPIs on the same Medicare enrollment 45
Corporate family (same tax ID) 24
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hannaford Supermarket Pharmacy 8233 |
Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs|Commodes, Urinals, Bedpans|Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Canes and/or Crutches|Ostomy Supplies|Urological Supplies|Surgical Dressings | Accepts assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930033457 | NY | DME Supplier - Pharmacy |
7517085293 | Practice locations: Voorheesville, 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… |
National Provider Directory
- Tax ID family
- Shop N Save Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 028651 | NY | Yes |
Addresses
Primary practice location
5 Maple Rd
Voorheesville, NY 12186-9422
Mailing address
PO Box 1000
Ms 3000
Portland, ME 04104-5005
Phone (207) 885-7454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2061579 | Other | PK | |
| 02939513 | Medicaid | NY |
Other names
- Hannaford Supermarket & Pharmacy
Other providers in Voorheesville, NY
- Kara A Kowalski
- Susan Kwiatkowski
- Deborah Jean Lee
- Danielle Marie Lloyd
- Steven Louis Lysenko
- Kathleen Michael
- James F O'Neill
- Rita Moran Okoniewski
- Lee P. Perry
- Susan D. Phillips
All providers in Voorheesville, NY · Community/Retail Pharmacy in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.