MAIN STREET PHARMACY LLC


Address: 150 Main Street Pharmacy, Mt Vernon, KY 40456
Phone: 6062560475

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
KY 7100014800 05
KY 7100037810 05
NCPDP PROVIDER IDENTIFICATION NUMBER 1830416 01

Other Provider/Organization Names

Other Name Type Code
MAIN STREET PHARMACY Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 150 MAIN STREET PHARMACY
City MT VERNON
State KY
Zip Code 40456

Providers in the same zip code

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 Information

Taxonomy Code 3336C0003X
Grouping Suppliers
Classification Pharmacy
Specialization Community/Retail Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306445259 Middletown Pharmacist Group Pharmacy 11601 Shelbyville Rd Ste B, Louisville, KY 40243-1309 2020-10-21
1144828724 Pharmacy Care Center Pharmacy 10616 South Ky Hwy 15, Scuddy, KY 41760 2020-10-15
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
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Competitor

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City MT VERNON
Zip Code 40456

Improve Information

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Dataset Information

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.

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