VICTORY DISTRIBUTORS LLC NPI 1578796603

NPI Information

  • NPI: 1578796603
  • Provider Name: VICTORY DISTRIBUTORS, LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Doing Business As: HANNAFORD FOOD & DRUG #8164
  • Address: 201 JOHN DEVINE DR
    MANCHESTER, NH
    ZIP 03103
  • Phone: (603) 626-1233

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NPI Details

VICTORY DISTRIBUTORS, LLC is a durable medical equipment medical supplies in Manchester, NH. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. VICTORY DISTRIBUTORS, LLC NPI is 1578796603. The provider is registered as an organization entity type.
The provider Is Doing Business As Hannaford Food & Drug #8164.

The provider's business location address is:

201 JOHN DEVINE DR
MANCHESTER, NH
ZIP 03103-034
Phone: (603) 626-1233
Fax: (603) 626-3002

The provider's authorized official is Elwen Eaton .
The authorized official title is Pharmacy Insurance Specialist and has the following contact phone number (207) 885-7454.

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 sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free (HCPCS:90674)

The enumeration date for this NPI number is 8/24/2009 and was last updated on 11/18/2014.

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical Supplies0366-PNEW HAMPSHIREYes

Other Identifiers

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

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
15474680023MEDICARE NSC
230707665MEDICAIDNEW HAMPSHIRE
30019458MEDICARE PIN
43004809OTHERNCPDP PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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