MAIN STREET PHARMACY INC (NPI# 1013192715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013192715 |
| Entity Type | Organization |
| Organization Name | MAIN STREET PHARMACY INC |
| Practice Address |
140 E Main St Reedsburg WI 53959-1936 |
| Mailing Address |
Po Box 310 Reedsburg WI 53959-0310 |
| Practice Telephone | 6087686678 |
| Practice Fax Number | 6087686681 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-01-02 |
| Authorized Official Name | CINDY KISSACK (OWNER) |
| Authorized Official Telephone | 6085241616 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
8793042 | WI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OTHER ID NUMBER | 5130389 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895837 | Main Street Pharmacy Inc | Pharmacy | 2550 Main St Fl 1, Hartford, CT 06120-1936 | 2019-01-16 |
| 1346418837 | Main Street Pharmacy Inc | Pharmacy | 12361 Main St, Houston, TX 77035-6200 | 2008-02-19 |
| 1932556032 | Main Street Pharmacy Inc | Pharmacy | 761 Main St, New Rochelle, NY 10805-1511 | 2016-05-18 |
| 1154625283 | Main Street Pharmacy Inc | Internal Medicine | 269 Stanaford Rd, Suite B, Beckley, WV 25801-3139 | 2011-01-04 |
| 1417092099 | Main Street Pharmacy Inc | Pharmacy | 195 S Main St, Lewistown, IL 61542-1412 | 2007-02-21 |
| 1144363573 | Main Street Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 195 S Main St, Lewistown, IL 61542-1412 | 2007-02-15 |
| 1851466973 | Main Street Pharmacy Inc | Pharmacy | 24 3rd Street Ne, Osseo, MN 55369 | 2006-11-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | MAIN STREET PHARMACY INC | 2550 Main Street, Hartford, CT 06120 |
| New York State Corporations | MAIN STREET PHARMACY INC. | 761 Main Street, New Rochelle, Ny 10805 |
| Street Address |
140 E MAIN ST |
| City | REEDSBURG |
| State | WI |
| Zip Code | 53959-1936 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225648538 | Jennifer A Rathsack | Speech-Language Pathologist | Sauk County Health Care Center, 1051 Clark Street, Reedsburg, WI 53959 | 2020-08-03 |
| 1740701770 | Katie Sue Wilke | Social Worker | 2155 E Main Street, Reedsburg, WI 53959 | 2017-06-29 |
| 1467972521 | Arthur Vance Hyzer | Physical Therapist | 164 2nd St Ste B, Reedsburg, WI 53959 | 2017-06-20 |
| 1295181659 | Jan Swiscz | Massage Therapist | 1104 21st. Stre, Reedsburg Area Medical Specialty Center, Reedsburg, WI 53959 | 2016-05-04 |
| 1639426851 | Reedsburg Area Ambulance Service | Ambulance | 230 Railroad St., Reedsburg, WI 53959 | 2012-08-07 |
| 1811131642 | Reedsburg Chiropractic Clinic | Chiropractor | 2235 E. Main St., Reedsburg, WI 53959 | 2009-04-23 |
| 1124270830 | Dana Lyn Gray | Massage Therapist | 350 N. Dewey Ave., Reedsburg, WI 53959 | 2008-10-14 |
| 1124290499 | Julaine Meyer | Registered Nurse | E7154 East Reedsburg Road, Reedsburg, WI 53959 | 2008-03-27 |
| 1528153087 | James William Clay | Surgery | 1104 21 St., Suite B, Reedsburg, WI 53959 | 2006-10-03 |
| 1083708507 | Eric W. Klingbeil | Surgery | 1104 21st St., Suite B, Reedsburg, WI 53959 | 2006-10-02 |
| Find all providers in zip 53959 | ||||
| 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 |
|---|---|---|---|---|
| 1174689616 | Corcoran Healthcare Enterprises, Inc | Pharmacy | 115 2nd St, Reedsburg, WI 53959-1602 | 2006-12-29 |
| 1033597521 | Reedsburg Area Medical Center, Inc | Pharmacy | 2000 N Dewey Ave, Reedsburg, WI 53959-1049 | 2015-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816939 | The Duluth Clinic, Ltd. | Pharmacy | 204 Belknap St, Ste 100, Superior, WI 54880-2964 | 2020-09-16 |
| 1902417207 | Ipack Pharmacy LLC | Pharmacy | 17000 W North Ave Ste 108w, Brookfield, WI 53005-4423 | 2020-08-11 |
| 1851939037 | Ascension Wisconsin Pharmacy, Inc | Pharmacy | 10180 Washington Ave Ste 102, Mount Pleasant, WI 53177-1604 | 2019-12-18 |
| 1558906354 | Life Change Rx 4 LLC | Pharmacy | 6300 N 76th St Ste 246, Milwaukee, WI 53218-1208 | 2019-11-15 |
| 1285278978 | Life Change Rx 3 LLC | Pharmacy | 7115 W Capitol Dr, Milwaukee, WI 53216-2051 | 2019-11-05 |
| 1295377703 | Hayat Pharmacy 21 LLC. | Pharmacy | 2333 Northwestern Ave Ste 120, Racine, WI 53404-2520 | 2019-10-16 |
| 1487296737 | Xperience Pharmacy LLC | Pharmacy | 5715 W Appleton Ave, Milwaukee, WI 53210-2250 | 2019-10-08 |
| 1962053421 | Hayat Pharmacy 19 LLC | Pharmacy | 805 W. Layton Ave. Suite A, Milwaukee, WI 53221 | 2019-09-26 |
| 1275182925 | Walgreen Co | Pharmacy | 2265 N Mayfair Rd, Wauwatosa, WI 53226-2207 | 2019-09-05 |
| 1982257200 | Hayat Pharmacy 16 LLC | Pharmacy | 603 N 36th St, Milwaukee, WI 53208-3826 | 2019-07-17 |
| 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.