MAIN STREET DRUG STORE INC (NPI# 1922247097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922247097 |
| Entity Type | Organization |
| Organization Name | MAIN STREET DRUG STORE INC |
| Other Organization Name | EVERETT PHARMACY |
| Practice Address |
108 E Main St Everett PA 15537-1258 |
| Practice Telephone | 8146525532 |
| Practice Fax Number | 8146522927 |
| Mailing Telephone | 8146525532 |
| Mailing Fax Number | 8146522927 |
| Enumeration Date | 2009-02-13 |
| Last Update Date | 2012-12-19 |
| Authorized Official Name | KAREN ISEMINGER (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 8146525532 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 333600000X | Pharmacy | Suppliers | ||
| N | 3336C0004X |
Pharmacy Specialization: Compounding Pharmacy |
Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP410712L | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 559319 | 05 | |
| PA | 1022770360001 | 05 | |
| NCPDP PROVIDER IDENTIFICATION NUMBER | 3991761 | 01 |
| Other Name | Type Code |
|---|---|
| Everett Pharmacy | Doing Business As Name - Organization |
| Street Address |
108 E MAIN ST |
| City | EVERETT |
| State | PA |
| Zip Code | 15537-1258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033232871 | Lisa Annette Sleighter | Pharmacy Technician | 108 E Main St, Everett, PA 15537-1258 | 2007-04-09 |
| 1609997535 | Karen Iseminger | Pharmacist | 108 E Main St, Everett, PA 15537-1258 | 2007-04-02 |
| 1447375647 | Everett Pharmacy, Inc. | Pharmacist | 108 E Main St, Everett, PA 15537-1258 | 2007-03-20 |
| 1700967791 | Everett Pharmacy Inc. | Pharmacy | 108 E Main St, Everett, PA 15537-1258 | 2006-10-18 |
| 1932206943 | Stephen W Mccahan | Pharmacist | 108 E Main St, Everett, PA 15537-1258 | 2006-09-20 |
| 1164455085 | Everett Pharmacy Inc | Pharmacy | 108 E Main St, Everett, PA 15537-1292 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497914469 | Peggy V Steinbrunner | Counselor | 16 Water Street, Ste 101, Everett, PA 15537 | 2008-06-05 |
| 1639274996 | Philip Kucas | Physician Assistant | 227 Hospital Drive, Suite 1, Everett, PA 15537 | 2006-09-13 |
| 1114029154 | Darryl Keef Warner | Chiropractor | 201 Hospital Dr, Suite 2, Everett, PA 15537 | 2006-09-01 |
| 1376553966 | Erin M Richards | Physician Assistant | 249 Hospital Drive Suite 1, Everett, PA 15537 | 2006-08-08 |
| 1710916556 | Raystown Ambulance Service Inc | Ambulance | 4 East South Street, Everett, WA 15537 | 2006-07-02 |
| 1821031931 | Stephen E Mccombie | Optometrist | 34 Bedford Square, Everett, PA 15537 | 2006-06-14 |
| 1982662540 | Elliott Jody Bilofsky | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-05-03 |
| 1780607168 | Elliott Bilofsky Do PC | Otolaryngology | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1013930387 | Dana Marie Harris | Physician Assistant | 202 Memorial Drive, Suite 1, Everett, PA 15537 | 2006-07-26 |
| 1659347847 | George Michael Zubak | Specialist | 300 N Spring St, Everett, PA 15537-1011 | 2006-02-27 |
| Find all providers in zip 15537 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245300052 | The Everett Clinic | Pharmacy | 3909 Hoyt Ave, Everett, WA 98201-4918 | 2006-11-09 |
| 1669582201 | Costco Wholesale Corporation | Pharmacy | 10200 19th Ave Se, Everett, WA 98208 | 2006-08-30 |
| 1487669453 | Walgreen Co | Pharmacy | 6807 Evergreen Way, Everett, WA 98203-5145 | 2006-07-29 |
| 1407889744 | Haggen, Inc | Pharmacy | 8915 Market Pl Ste 100, Everett, WA 98205-9914 | 2006-07-09 |
| 1922066414 | Genoa Healthcare, LLC | Pharmacy | 3322 Broadway Ste 230, Everett, WA 98201-4425 | 2006-05-03 |
| 1336665686 | Walgreen Co | Pharmacy | 405 Broadway, Everett, MA 02149-3435 | 2017-08-18 |
| 1891088845 | Providence Health & Services-wa | Pharmacy | 3305 Nassau St # 101, Everett, WA 98201-4140 | 2011-05-24 |
| 1639225899 | Prescription Shoppe Inc | Pharmacy | 378 Broadway, Everett, MA 02149-3426 | 2007-01-28 |
| 1316013568 | Lowers Pharmacy Inc | Pharmacy | 33 E Main St, Everett, PA 15537-1257 | 2006-11-28 |
| 1700967791 | Everett Pharmacy Inc. | Pharmacy | 108 E Main St, Everett, PA 15537-1258 | 2006-10-18 |
| Find all providers in EVERETT | ||||
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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.