NPIMap

Organization Active NPI

Hannaford Bros. Co., LLC

Doing business as Hannaford Supermarket & Pharmacy

  • Community/Retail Pharmacy
  • Scarborough, ME
National Provider Identifier
1861175622
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
HANNAFORD BROS. CO., LLC
Doing business as
Hannaford Supermarket & Pharmacy
Practice address
417 Payne Rd
Scarborough, ME 04074-9594
Phone
(207) 883-0104
Fax
(207) 883-0122
NPI assigned
Aug 9, 2023
Last updated
Oct 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Authorized official

Name
Michael Vail
Title
President
Phone
(207) 885-7454

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

417 Payne Rd
Scarborough, ME 04074-9594

Mailing address

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

Other names 1

  • Hannaford Supermarket & Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20101110001111 ME Part B Supplier - Mass Immunization (Roster Biller Only) 1658499157 This NPI is an additional NPI on the enrollment
O20240309000042 ME DME Supplier - Pharmacy 1658499157 Practice locations: Scarborough, ME

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Hannaford Supermarket & Pharmacy417 Payne Rd, Scarborough, ME 04074-9594(207) 374-3707 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 assignmentParticipating since Jan 1, 2001

National Provider Directory

National Provider Directory
Tax ID family
Martins Food and Drug 53588 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 20

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

View all 20

Locations (25 of 57)

118 Cony St
Augusta, ME 04330
Phone (207) 621-2574

29 Whitten Rd
Augusta, ME 04330
Phone (207) 622-3136

1133 Union St
Bangor, ME 04401
Phone (207) 942-0100

86 Cottage St
Bar Harbor, ME 04609
Phone (207) 287-8042

383 Wilson St
Brewer, ME 04412
Phone (207) 989-8290

109 Portland Rd
Bridgton, ME 04009
Phone (207) 647-5795

8 Gurnet Rd
Ste 1
Brunswick, ME 04011
Phone (207) 373-0310

33 Hannaford Dr
China, ME 04358
Phone (207) 445-3389

65 Gray Rd
Falmouth, ME 04105
Phone (207) 878-0017

131 Hannaford Dr
Farmington, ME 04938
Phone (207) 778-0644

131 Hannaford Dr
#1
Farmington, ME 04938
Phone (207) 778-0644

40 Main Ave
Gardiner, ME 04345
Phone (207) 582-3750

99 Main St
Gorham, ME 04038
Phone (207) 839-6551

15 Jay Plaza Ln
Jay, ME 04239
Phone (207) 897-4376

65 Portland Rd
Ste 9
Kennebunk, ME 04043
Phone (207) 985-9177

692 Sabattus St
Lewiston, ME 04240
Phone (207) 786-0122

22 Goding Ave
Lincoln, ME 04457
Phone (207) 356-2011

149 Dublin St
Machias, ME 04654
Phone (207) 255-0715

50 Pigeon Hill Rd
Mechanic Falls, ME 04256
Phone (207) 998-2650

843 Central St
Millinocket, ME 04462
Phone (207) 723-8148

500 Stillwater Ave
Old Town, ME 04468
Phone (207) 827-3950

295 Forest Ave
Portland, ME 04101
Phone (207) 761-5967

787 Riverside St
Portland, ME 04103
Phone (207) 878-0191

75 Maverick St
Rockland, ME 04841
Phone (207) 301-6000

532 Main St
Saco, ME 04072
Phone (207) 282-4131

Practitioners & affiliated clinicians

Practitioners 231

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 231

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696291200000",
    "number": "1861175622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1000",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041045005",
            "telephone_number": "207-885-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 PAYNE RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749594",
            "telephone_number": "207-883-0104",
            "fax_number": "207-883-0122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANNAFORD BROS. CO., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-09",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A",
        "authorized_official_last_name": "VAIL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-885-7454"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hannaford Supermarket & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hannaford Supermarket & Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scarborough, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.