MAIN STREET PHARMACY, LLC (NPI# 1225138514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225138514 |
| Entity Type | Organization |
| Organization Name | MAIN STREET PHARMACY, LLC |
| Other Organization Name | CVS PHARMACY #48275 |
| Practice Address |
3110 Gracefield Rd Silver Spring MD 20904-1820 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 3015728470 |
| Practice Fax Number | 3015724957 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-03-07 |
| Authorized Official Name | SUSAN COLBERT (SR. DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017702751 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
Suppliers |
| Other Name | Type Code |
|---|---|
| CVS Pharmacy #48275 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295158582 | Main Street Pharmacy, LLC | Pharmacy | 3100 Shore Dr, Virginia Beach, VA 23451-1199 | 2014-01-23 |
| 1649539420 | Main Street Pharmacy, LLC | Pharmacy | 1600 Westbrook Ave, Richmond, VA 23227-3337 | 2012-05-14 |
| 1588845754 | Main Street Pharmacy, LLC | Pharmacy | 14703 Eagle Vista Dr, Houston, TX 77077-5275 | 2007-11-16 |
| 1942407671 | Main Street Pharmacy, LLC | Pharmacy | 203 Linden Ponds Way, Hingham, MA 02043 | 2007-06-27 |
| 1710054051 | Main Street Pharmacy, LLC | Pharmacy | 100 Maris Grove Way, Glen Mills, PA 19342 | 2006-11-30 |
| 1326115106 | Main Street Pharmacy, LLC | Pharmacy | 100 Brooksby Village Dr, Peabody, MA 01960-1438 | 2006-11-29 |
| 1457448672 | Main Street Pharmacy, LLC | Pharmacy | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2006-10-09 |
| 1710087085 | Main Street Pharmacy, LLC | Pharmacy | 7440 Spring Village Dr, Springfield, VA 22150-4446 | 2006-09-25 |
| 1942300223 | Main Street Pharmacy, LLC | Pharmacy | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2006-09-25 |
| 1427158724 | Main Street Pharmacy, LLC | Pharmacy | 3000 Essex Rd, Tinton Falls, NJ 07753-2631 | 2006-09-25 |
| Street Address |
3110 GRACEFIELD RD |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20904-1820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306835475 | Lynne Diggs | Internal Medicine | 3110 Gracefield Rd, Silver Spring, MD 20904 | 2005-10-20 |
| 1689271157 | Christina Galiotos Musser | Pharmacist | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2020-10-07 |
| 1952912487 | Erickson Health Medical Group of Maryland, PC | Social Worker | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2020-08-10 |
| 1497222673 | Jennifer Belovich | Pharmacist | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2018-10-25 |
| 1801397773 | Veronica Lynelle Gales Short | Physical Therapist | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2018-02-26 |
| 1437671914 | Tiffany Jacobs | Physical Therapy Assistant | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2017-07-17 |
| 1699971457 | Padmaja Bandi | Internal Medicine | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2007-06-26 |
| 1588860795 | Rws, P.C. | Audiologist-Hearing Aid Fitter | 3110 Gracefield Rd, Riderwood Medical Center, Silver Spring, MD 20904-1820 | 2007-06-25 |
| 1356550792 | Craig D Thorne | Internal Medicine | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2007-05-22 |
| 1659401131 | Daniel Joel Feirtag | Internal Medicine | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487292678 | Vas Adult Day Care Center | Clinic/Center | 12621 Old Columbia Pike, Silver Spring, MD 20904 | 2019-12-18 |
| 1619512837 | David Newsome | General Practice | 12305 Sandalwood Lane, Silver Spring, MD 20904 | 2019-11-12 |
| 1215595996 | Educational Speech Services Prattle On | Speech-Language Pathologist | 2804 Mozart Drive, Silver Spring, MD 20904 | 2019-05-29 |
| 1184288201 | Danielle Fitzpatrick Tarbrake | Speech-Language Pathologist | Cannon Road Elementary School, 901 Cannon Road, Silver Spring, MD 20904 | 2019-04-24 |
| 1912483181 | Florence M Edorh-damlin | Home Health Aide | 14119 Castle Blvd Apt 102, Silver Spring, MD 20904 | 2018-07-11 |
| 1922594357 | Melanie Bennett | Occupational Therapist | 3500 Sheffield Manor Terrace, Silver Spring, MD 20904 | 2018-07-09 |
| 1578056602 | Chioma Theresa Nwaneri | Home Health Aide | 1516 November Cir Apt 201, Silver Spring, MD 20904 | 2018-06-13 |
| 1598287989 | Wandji Ngatchou | Home Health Aide | 13908 Castle Blvd Apt 303, Silver Spring, MD 20904 | 2017-07-07 |
| 1871025239 | Rose Abanda | Home Health Aide | 11700 Old Columbia Pike Apt 703, Silver Spring, MD 20904 | 2017-04-03 |
| 1962955930 | Bentilda Healthcare Services | Nursing Care | 13526 Collingwood Ter, Silver Spring, MD 20904 | 2016-07-26 |
| Find all providers in zip 20904 | ||||
| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494174 | Hpc Health LLC | Pharmacy | 120 E Pulaski Hwy Unit 120, Elkton, MD 21921-6430 | 2020-10-09 |
| 1689209496 | Polaris Pharmacy Services of Maryland, LLC | Pharmacy | 9113 Liberty Rd, Randallstown, MD 21133-3530 | 2020-03-12 |
| 1740791177 | Foers Long Term Care Pharmacy | Pharmacy | 1300 Piccard Dr Ste Ll-16, Rockville, MD 20850-4303 | 2017-10-12 |
| 1114386174 | Smithsburg Pharmacy LLC | Pharmacy | 22030 Jefferson Blvd, Smithsburg, MD 21783-2057 | 2016-02-19 |
| 1356716864 | Northside Pharmacy Long Term Care Inc | Pharmacy | 707 North Bridge Street, Suite C, Elkton, MD 21921 | 2015-12-09 |
| 1437498615 | Care One Pharmacy Ltc/specialty Pharmacy | Pharmacy | 2277-2279 Reisterstown Road, Baltimore, MD 21217 | 2013-02-07 |
| 1043571367 | Nayosha LLC | Pharmacy | 8900 Columbia 100 Pkwy Ste H, Columbia, MD 21045-2336 | 2012-06-04 |
| 1972886927 | Priority Healthcare | Pharmacy | 751 Elkton Blvd, Elkton, MD 21921-5425 | 2011-09-26 |
| 1851523765 | Professional Care Pharmacy Inc | Pharmacy | 806 Reisterstown Rd, Unit 3, Pikesville, MD 21208-4215 | 2009-08-12 |
| 1093941478 | Global Health Pharmacy, Inc | Pharmacy | 7500 Montpelier Rd Ste 106, Laurel, MD 20723-6012 | 2009-05-30 |
| Find all providers with the same taxonomy | ||||
| City | SILVER SPRING |
| Zip Code | 20904 |
Please comment or provide details below to improve the information on MAIN STREET PHARMACY, LLC.
| 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.