MAXI GREEN INC NPI 1477569689

NPI Details

MAXI GREEN INC is a community/retail pharmacy pharmacy in Randolph, VT. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MAXI GREEN INC NPI is 1477569689. The provider is registered as an organization entity type.
The provider Is Doing Business As Rite Aid Pharmacy 10309.

The provider's business location address is:

12 NORTH MAIN STREET
RANDOLPH, VT
ZIP 05060-127
Phone: (802) 728-3722

The provider's authorized official is Jennifer Zorek .
The authorized official title is Manager Online Adjudication and has the following contact phone number (717) 975-5937.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count (HCPCS:K1034)
• Administration of influenza virus vaccine (HCPCS:G0008)
• Fee covid-19 vac 13 res (HCPCS:0124A)
• Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
• Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
• Adm sarscov2 100mcg/0.5ml3rd (HCPCS:0013A)
• Influenza vaccine split virus, preservative free (HCPCS:90662)
• Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
• Administration of pneumococcal vaccine (HCPCS:G0009)
• Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
• Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
• Adm sarscv2 30mcg trs-sucr 3 (HCPCS:0053A)

The enumeration date for this NPI number is 7/31/2006 and was last updated on 4/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.