Martins Foods of South Burlington LLC
Organization Active NPI Community/Retail Pharmacy · Essex Junction, VT
NPI 1487762860 · NPPES record last updated Sep 19, 2025
Key facts
- NPI
- 1487762860
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Retail Pharmacy 3336C0003X
- License
- 0380002482 (VT)
- Legal business name
- MARTINS FOODS OF SOUTH BURLINGTON LLC
- Practice address
- 21A Essex Way
Essex Junction, VT 05452-3384 - Phone
- (802) 878-0119
- Fax
- (802) 872-9591
- NPI assigned
- Aug 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Michael Vail
- Title
- President and Manager
- Phone
- (207) 885-7454
Other NPIs on the same Medicare enrollment 12
Corporate family (same tax ID) 11
Practitioners 6
-
Matt M Alter, RPH
-
Kerri Prong, RPH
-
Nicholas Raymond Stark, PHARMD
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Hannaford Supermarket Pharmacy 8353 |
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 VT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930064329 | VT | DME Supplier - Pharmacy |
7517085293 | Practice locations: Essex Junction, VT |
| O20110929000290 | VT | Part B Supplier - Mass Immunization (Roster Biller Only) | 7517085293 |
12 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Williston, VT; Bennington, VT; St Albans, VT; South Burlington, VT; Rutland, VT; Morrisville, VT; Milton, VT; Middlebury, VT… |
National Provider Directory
- Tax ID family
- Shop N Save Pharmacy
Locations
21 Essex Way
Ste A
Essex Junction, VT 05452
Phone (802) 878-0119
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Community/Retail Pharmacy | 3336C0003X | 0380002482 | VT | Yes |
Addresses
Primary practice location
21A Essex Way
Essex Junction, VT 05452-3384
Mailing address
PO Box 1000
Ms 3000
Portland, ME 04104-5005
Phone (207) 885-7454
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0005580 | Medicaid | VT | |
| 5580 | Medicaid | VT | |
| 2101412 | Other | PK |
Other names
- HANNAFORD FOOD AND DRUG
Other providers in Essex Junction, VT
- Arthur Makaris
- Nathan Makay
- Abigail Nicole Malle
- Mansfield Physical Therapy Limited Partnership
- Gregory John Martin
- Kristen L Massingham
- Abigail Matchette
- Ezra Maurer
- Maybeck Counseling LLC
- Jared Walter Maybeck
All providers in Essex Junction, VT · Community/Retail Pharmacy in Vermont
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.