NPIMap

Organization Active NPI

Martins Foods of South Burlington LLC

  • Community/Retail Pharmacy
  • Hudson, NY
National Provider Identifier
1598031346
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
031284 Issued in NY
Legal business name
MARTINS FOODS OF SOUTH BURLINGTON LLC
Practice address
32 Route 82
Hudson, NY 12534-4449
Phone
(518) 851-2496
Fax
(518) 851-2610
NPI assigned
Mar 27, 2012
Organization subpart
No

Authorized official

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

Other NPIs on the same Medicare enrollment 45

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

View all 45

Practitioners 4

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

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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…
O20120730000787 NY DME Supplier - PharmacyDME Supplier - Grocery Store 7517085293 Practice locations: Hudson, NY

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 24

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

View all 24

Locations

32 State Route 82
Hudson, NY 12534
Phone (518) 851-2496

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Community/Retail Pharmacy 3336C0003X 031284 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

32 Route 82
Hudson, NY 12534-4449

Mailing address

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

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
03466704MedicaidNY
2134415OtherPK

Other names 1

NPPES NPI Registry
  • Hannaford Supermarket & Pharmacy Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2025.

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1598031346",
    "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": "32 ROUTE 82",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125344449",
            "telephone_number": "518-851-2496",
            "fax_number": "518-851-2610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTINS FOODS OF SOUTH BURLINGTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "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": "031284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03466704",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2134415",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hannaford Supermarket & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hudson, 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.