The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1619100740 |
NPI Entity Type | Organization |
Provider Name |
Victory Distributors, Llc
Doing Business As |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 859 Hanover St, Manchester, NH, US |
Provider Mailing Address | Po Box 1000, Ms3000, Portland, ME, US, 041045005 |
Is Sole Proprietor? | No |
Official Name | Elwen Eaton |
Official Position | PHARMACY INSURANCE SPECIALIST |
Phone | 207-885-7454 |
Taxonomy Code | |
Taxonomy Name | Durable Medical Equipment & Medical Supplies |
Classification | |
Group | |
License No. | 0337-P |
License State | NH |
Description | 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. |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
30707674 | NH | MEDICAID | 05 |
3004544 | NCPDP PROVIDER NUMBER | 01 |
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DR. DO Marc Adam Paranzino Individual |
19 Old Rollinsford Rd Bldg B |
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