MAIN STREET PHARMACY LLC (NPI# 1669652210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669652210 |
Entity Type | Organization |
Organization Name | MAIN STREET PHARMACY LLC |
Other Organization Name | MAIN STREET PHARMACY |
Practice Address |
150 Main Street Pharmacy Mt Vernon KY 40456 |
Practice Telephone | 6062560475 |
Practice Fax Number | 6062560421 |
Mailing Telephone | 6062560475 |
Mailing Fax Number | 6062560421 |
Enumeration Date | 2007-11-13 |
Last Update Date | 2011-08-25 |
Authorized Official Name | ERIC GIBBS (OWNER) |
Authorized Official Telephone | 6062580000 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
P07220 | KY | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 7100014800 | 05 | |
KY | 7100037810 | 05 | |
NCPDP PROVIDER IDENTIFICATION NUMBER | 1830416 | 01 |
Other Name | Type Code |
---|---|
MAIN STREET PHARMACY | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609109842 | Main Street Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1005 Main St # 1j, Bridgeport, CT 06604-4221 | 2009-09-04 |
1144374596 | Main Street Pharmacy LLC | Pharmacy | 213 W Main St Ste A, Durham, NC 27701-3258 | 2007-01-23 |
1689700379 | Main Street Pharmacy LLC | Pharmacy | 117 E Main St, East Prairie, MO 63845-1136 | 2007-02-26 |
1982716999 | Main Street Pharmacy LLC | Pharmacy | 601 W Main St, Blanchester, OH 45107-1141 | 2006-08-31 |
Street Address |
150 MAIN STREET PHARMACY |
City | MT VERNON |
State | KY |
Zip Code | 40456 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700274248 | Angela Joy Silva | Counselor | 20 Lovell Court, Mt Vernon, KY 40456 | 2015-01-07 |
1992128045 | Health Help Inc | Pharmacy | 116 Progress Drive, Mount Vernon, KY 40456 | 2014-01-27 |
1376703017 | Cumberland Valley Dist Health Dept | Public Health or Welfare | 1545 Lake Cumberland Road, Mt Vernon, KY 40456 | 2008-06-16 |
1386803401 | Mt Vernon Partials and Dentures | Denturist | 571 Richmond Street, Mt Vernon, KY 40456 | 2008-06-04 |
1285817973 | Lloyd L. Cain O.d | Eyewear Supplier (Equipment, not the service) | 205 Richmond Street, Mount Vernon, KY 40456 | 2007-12-17 |
1952516197 | Suzann Fenton | Specialist | 4192 Wilderness Rd, Mt. Vernon, KY 40456 | 2007-05-11 |
1659595304 | Rockcastle County Adult Health Care | Clinic/Center | 1260 S. Wilderness Road, Mount Vernon, KY 40456 | 2007-04-12 |
1790909075 | Teresa Blair | Dietitian, Registered | 145 Newcomb Ave., Rockcastle Hospital, Mt Vernon, KY 40456 | 2007-04-11 |
1972622066 | Tracy Renee King | Pharmacist | 110 Newcomb Avenue, Mt. Vernon, KY 40456 | 2007-03-28 |
1013041243 | Rockcastle County Board of Education | Local Education Agency (LEA) | 245 Richmond Street, Mount Vernon, KY 40456 | 2007-03-16 |
Find all providers in zip 40456 |
Taxonomy Code | 3336C0003X |
Grouping | Suppliers |
Classification | Pharmacy |
Specialization | Community/Retail Pharmacy |
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. |
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] |
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---|---|---|---|---|
1144883745 | Sidney Pharmacy Inc | Pharmacy | 122 Gramatan Ave, Mt Vernon, NY 10550-1206 | 2019-04-18 |
1609158450 | 32 Proctor Pharmacy Inc. | Pharmacy | 32 Gramatan Ave, Mt Vernon, NY 11550 | 2011-09-16 |
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1306445259 | Middletown Pharmacist Group | Pharmacy | 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 | 2020-10-21 |
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1497361208 | Kerry Hettinger | Pharmacy | 1114 Schiller Ave, Louisville, KY 40204-1946 | 2020-09-17 |
1114539822 | B&b Pharmacy, Pllc | Pharmacy | 126 Shadowmeade Lane, Unit 2, Mount Washington, KY 40047 | 2020-08-24 |
1376161588 | Arh Mary Breckinridge Health Services, Inc. | Pharmacy | 3504 West Cumberland Ave, Middlesboro, KY 40965-2612 | 2020-07-14 |
1073139531 | Cornerstone Care Associates | Pharmacy | 1509 1/2 Lexington Rd Ste 2, Richmond, KY 40475-1060 | 2020-06-21 |
1912523614 | Oldham Pharmacist Group | Pharmacy | 1000 Cherrywood Pl Ste 100, La Grange, KY 40031-8927 | 2020-06-18 |
1578187209 | St. Elizabeth Medical Center, Inc. | Pharmacy | 1 Medical Village Dr., Edgewood, KY 41017 | 2020-05-28 |
1922629997 | Classic Specialty Pharmacy Pllc | Pharmacy | 3582 Springhurst Blvd, Louisville, KY 40241-4141 | 2020-05-01 |
1346860095 | Dupont Pharmacy, LLC | Pharmacy | 3924 S Dupont Sq Ste D, Louisville, KY 40207-5912 | 2020-04-23 |
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.