Valley Pharmacy, Inc Dba Farmington Medical Supplies and Services

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0230189 Issued in ME

Legal business name

VALLEY PHARMACY, INC DBA FARMINGTON MEDICAL SUPPLIES AND SERVICES

Practice address

407 Wilton Rd
Suite 3
Farmington, ME 04938-6125

Phone

(207) 778-2520

Fax

(207) 778-0313

NPI assigned

Jun 22, 2005

Organization subpart

No

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

Authorized official

Name

Miss Brenda Marie Laviolette

Title

Ceo

Phone

(207) 778-2520

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1326044645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 WILTON RD",
            "address_2": "SUITE 3",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386125",
            "telephone_number": "207-778-2520",
            "fax_number": "207-778-0313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 WILTON RD",
            "address_2": "SUITE 3",
            "city": "FARMINGTON",
            "state": "ME",
            "postal_code": "049386125",
            "telephone_number": "207-778-2520",
            "fax_number": "207-778-0313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHARMACY, INC DBA FARMINGTON MEDICAL SUPPLIES AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "LAVIOLETTE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-778-2520",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ME",
            "license": "0230189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "003238",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viviam Skarleth Trejo, MD
• Carole Walker Trickett, MSW
• Troy a Norton OD, Inc.
• University of Maine at Farmington
• University of Maine System
• Alice L Vanderwerken, OT
• Lisa Claire Vargas
• Amy Vincent, R.D.H.
• Renee Violette, APRN-CNP
• Anne L Viselli, MD

• Durable Medical Equipment & Medical Supplies in Farmington, ME
• Providers in Farmington, ME by specialty
• Durable Medical Equipment & Medical Supplies in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.