MEDICARE: HANNAFORD BROS CO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies
2	3336C0003X	Community/Retail Pharmacy	PH50001097	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2037502	OTHER		PK
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538277918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANNAFORD BROS CO LLC

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:	MS 3000
City	:	PORTLAND
State	:	ME
Zip	:	04104-5005
Country	:	US
Telephone Number	:	207-885-7454
Fax Number	:	704-645-6531

Provider Business Practice Location Address
First Line	:	65 GRAY RD
Second Line	:
City	:	FALMOUTH
State	:	ME
Zip	:	04105-2057
Country	:	US
Telephone Number	:	207-878-0017
Fax Number	:	207-878-0010

Authorized Official
Title or Position	:	PRESIDENT AND MANAGER
Name	:	MICHAEL VAIL
Credential	:
Telephone Number	:	207-885-7454

Provider Enumeration Date	:	08/27/2006
Last Update Date	:	09/19/2025

Similar Medicare Providers

1902192446 — MR. JOSEPH REID BRIGLIA DPT
Practice Location Address:

65 GRAY RD UNIT 6
FALMOUTH, ME
04105-2057

Practice Phone: 207-209-3541
Practice Fax:

1659882868 — ELIZABETH TALLIS LEANDER PHARMD
Practice Location Address:

65 GRAY RD
FALMOUTH, ME
04105-2057

Practice Phone: 207-878-0050
Practice Fax:

1952905218 — MONIQUE ANGELLA JOHNSON PHARM.D.
Practice Location Address:

65 GRAY RD
FALMOUTH, ME
04105-2057

Practice Phone: 207-878-0017
Practice Fax: 207-878-0010

1225633357 — PAUL JOSEPH STEBER JR.
Practice Location Address:

65 GRAY RD
FALMOUTH, ME
04105-2057

Practice Phone: 207-878-0017
Practice Fax:

1962342501 — ZASLAVSKY DIRECT PRIMARY CARE, PLLC
Practice Location Address:

141 WOODLANDS DR
FALMOUTH, ME
04105-1190

Practice Phone: 631-935-5473
Practice Fax: 631-935-5473

1043159312 — BETHANY PHUNG NGUYEN
Practice Location Address:

75 GRAY RD
FALMOUTH, ME
04105-2010

Practice Phone: 207-535-1340
Practice Fax:

Directions to “HANNAFORD BROS CO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.