MAIN STREET PHARMACY, L.L.C. (NPI# 1073159885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073159885 |
| Entity Type | Organization |
| Organization Name | MAIN STREET PHARMACY, L.L.C. |
| Other Organization Name | CVS PHARMACY # 48570 |
| Practice Address |
21170 Ashby Ponds Blvd Ste 101 Ashburn VA 20147-6128 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 4017651500 |
| Practice Fax Number | 4017707108 |
| Mailing Telephone | 4017651500 |
| Mailing Fax Number | 4017707108 |
| Enumeration Date | 2019-11-27 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | SUSAN F COLBERT (SR DIRECTOR PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy # 48570 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164081188 | Main Street Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 30000 Anns Choice Way, Warminster, PA 18974-3375 | 2019-06-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | MAIN STREET PHARMACY, L.L.C. | 900 Omnicare Center, 201 East Fourth Street, Cincinnati, OH 45202 |
| Street Address |
21170 ASHBY PONDS BLVD STE 101 |
| City | ASHBURN |
| State | VA |
| Zip Code | 20147-6128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982039 | Smita J Patel | Pharmacist | 43614 Millay Ct., Ashburn, VA 20147 | 2020-11-04 |
| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1164065967 | Dorsa Salehi | Behavior Technician | 44933 George Washing Blvd, Suite 115, Ashburn, VA 20147 | 2019-10-24 |
| 1659837094 | Sandrine Shanghai | Case Management | 44933 George Washington Parkway, Suite 110, Ashburn, VA 20147 | 2019-02-11 |
| 1033684154 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 44835 Russel Branch Parkway, Ashburn, VA 20147 | 2018-10-04 |
| 1417437203 | Roshni A Patel | Optometrist | 44050 Ashburn Village Blvd, Suite 163, Ashburn, VA 20147 | 2018-08-21 |
| 1972095974 | Verum Cutis Dermatology | Dermatology | 44110 Ashburn Shopping Plz Unit 237, Ashburn, VA 20147 | 2018-06-05 |
| 1033608542 | Justin Leeman | Physical Therapist | 21625 Red Rum Dr, Ashburn, VA 20147 | 2018-05-09 |
| 1255860680 | Aperiomics, Inc. | Clinical Medical Laboratory | 45085 University Dr, Ste 305, Ashburn, VA 20147 | 2017-06-08 |
| 1427591643 | Monecia Michelle Nelms | Counselor | 20925 Professional Plaza, Suite #320, Ashburn, VA 20147 | 2016-11-19 |
| Find all providers in zip 20147 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619074457 | Kha Inc | Pharmacy | 20630 Ashburn Rd, Ste 166, Ashburn, VA 20147-5625 | 2006-09-20 |
| 1467567594 | Shoppers Food Warehouse Corp | Pharmacy | 43761 Parkhurst Plz, Ashburn, VA 20147 | 2006-08-20 |
| 1598326027 | Middle Creek Management | Pharmacy | 123 E College Ave, Ashburn, GA 31714-5203 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998920 | Schiffert Health Center | Pharmacy | 895 Washington Street Sw Virginia Tech Mccomas Hall, Blacksburg, VA 24061-0140 | 2020-07-02 |
| 1912521675 | Duke Pharmacy LLC | Pharmacy | 5130 Duke St Ste 7b, Alexandria, VA 22304-2955 | 2020-05-28 |
| 1942847900 | Medspack Ltc Inc | Pharmacy | 14121 Parke Long Ct Ste 112, Chantilly, VA 20151-1647 | 2019-12-09 |
| 1275175804 | Duyen K Nguyen | Pharmacy | 4497 Morning Wind Ct, Annandale, VA 22003-5902 | 2019-10-15 |
| 1447892450 | Seaside Pharmacy LLC | Pharmacy | 1630 Donna Dr Ste 103, Virginia Beach, VA 23451-6188 | 2019-10-10 |
| 1083255426 | E's-y Rider Cab & Transport Co LLC | Pharmacy | 562 W 29th St, Buena Vista, VA 24416-1506 | 2019-10-07 |
| 1346891918 | Martin's Pharmacy of Rural Retreat Inc | Pharmacy | 100 W Buck Ave, Rural Retreat, VA 24368-2515 | 2019-09-25 |
| 1417418005 | Village Economy Drug Inc | Pharmacy | 443 Duff Patt Hwy Ste 104, Duffield, VA 24244-5191 | 2019-03-27 |
| 1538642434 | Avs Pharmacy LLC | Pharmacy | 161 Fort Evans Rd Ne Ste 115, Leesburg, VA 20176-3370 | 2018-09-07 |
| 1316427347 | Plaza Economy Drug Inc | Pharmacy | 1123 Plaza Dr, Grundy, VA 24614-6780 | 2018-08-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.