MAIN STREET PHARMACY, LLC (NPI# 1316051832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316051832 |
| Entity Type | Organization |
| Organization Name | MAIN STREET PHARMACY, LLC |
| Other Organization Name | CVS PHARMACY #48303 |
| Practice Address |
1 Cedar Crest Dr Pompton Plains NJ 07444-2100 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 9738313537 |
| Practice Fax Number | 9738394537 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2006-08-19 |
| 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 #48303 | 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 |
| 1225138514 | Main Street Pharmacy, LLC | Pharmacy | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2006-09-25 |
| 1942300223 | Main Street Pharmacy, LLC | Pharmacy | 4800 Fillmore Ave, Alexandria, VA 22311-5070 | 2006-09-25 |
| Street Address |
1 CEDAR CREST DR |
| City | POMPTON PLAINS |
| State | NJ |
| Zip Code | 07444-2100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154394906 | Jesse V Wassner | Internal Medicine | 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 | 2006-02-10 |
| 1013535830 | Sarah M Wolosin | Occupational Therapist | 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 | 2020-07-08 |
| 1023471505 | Sarah Ruitenberg | Physical Therapist | 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 | 2016-04-01 |
| 1578925186 | Katelyn Milatz | Occupational Therapist | 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 | 2016-03-23 |
| 1578925400 | Etan Haziza | Speech-Language Pathologist | 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 | 2016-03-21 |
| 1548672249 | Chelsea Brower | Family Medicine | 1 Cedar Crest Dr, Pompton Plains, NJ 07444 | 2014-05-29 |
| 1417383985 | Cedar Crest | Clinic/Center | 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 | 2013-09-17 |
| 1083049753 | Bonnie J Faresich | Physical Therapist | 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 | 2013-09-12 |
| 1952686560 | Mountain Top Dental | Dentist | 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 | 2011-10-14 |
| 1760659379 | Senior Campus Primary Care Physicians PC | Family Medicine | 1 Cedar Crest Dr, Pompton Plains, NJ 07444-2100 | 2008-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407383144 | Kaitlin Vanderhoff | Social Worker | 193 Mountain Avenue, Pompton Plains, NJ 07444 | 2017-05-12 |
| 1285026872 | Mckeever Dental Care | Dentist | 933 Rt 23, Pompton Plains, NJ 07444 | 2015-02-19 |
| 1164609277 | Mary Milbank Bodenstein | Social Worker | 640 Newark Pompton Turnpike, Pompton Plains, NJ 07444 | 2008-01-31 |
| 1548470115 | Roger R. Hancox | Counselor | 142 Route 23 North, Pompton Plains, NJ 07444 | 2007-05-23 |
| 1215147772 | Joanne Roach Stickles | Counselor | 933 Route 23 South, Suite 10, Pompton Plains, NJ 07444 | 2007-05-23 |
| 1366584583 | Gleb Koslov | Chiropractor | 933 Route 23, Pequannock, NJ 07444 | 2007-02-13 |
| 1730245556 | Ykr Orthopedics | Specialist | 901 State Route 23 South, Floor 2, Pompton Plains, NJ 07444 | 2006-12-28 |
| 1548328362 | Violeta Trajkovska | Optometrist | 500 Rt 23 North, Pompton Plains, NJ 07444 | 2006-12-05 |
| 1245308097 | L Michelle Borden | Social Worker | 21 Evans Place, Pompton Plains, NJ 07444 | 2006-12-01 |
| 1952487837 | John Liaci Sr. | Chiropractor | 381 Route 23 South, Pompton Plains, NJ 07444 | 2006-10-31 |
| Find all providers in zip 07444 | ||||
| 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] |
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|---|---|---|---|---|
| 1326652686 | Worthkap Inc | Pharmacy | 1581 County Road 517 Village Square Mall, Allamuchy Township, NJ 07820 | 2020-09-03 |
| 1386271989 | Clifton Drugs LLC | Pharmacy | 859 Clifton Ave, Clifton, NJ 07013-1715 | 2020-03-24 |
| 1386270742 | East Orange Pharmacy Evergreeen LLC | Pharmacy | 60 Evergreen Pl Ste 104, East Orange, NJ 07018-2114 | 2020-03-18 |
| 1881238673 | Hmh Residential Care, Inc | Pharmacy | 34 Industrial Way E, Eatontown, NJ 07724-3319 | 2019-11-05 |
| 1518517085 | Integrated Medication Management | Pharmacy | 136 Gaither Dr Ste 120, Mount Laurel, NJ 08054-1725 | 2019-09-17 |
| 1063067767 | Dsp Pharmacy LLC | Pharmacy | 1071 Rte 37 W Unit 10, Toms River, NJ 08755-5026 | 2019-08-08 |
| 1922653138 | Jems Pharma LLC | Pharmacy | 301 High St, Burlington, NJ 08016-4411 | 2019-08-05 |
| 1073165403 | Quick Mart Pharmacy & Convenience LLC | Pharmacy | 100 Ryders Ln Ste 5, Milltown, NJ 08850-1263 | 2019-07-16 |
| 1083271498 | Rapps Ltc Pharmacy, LLC | Pharmacy | 1510 Park Ave Ste 104, South Plainfield, NJ 07080-5521 | 2019-05-21 |
| 1669038162 | Tarrytown Expocare Nj, LLC | Pharmacy | 281 Us Highway 46 Ste 100, Elmwood Park, NJ 07407-2419 | 2019-05-10 |
| Find all providers with the same taxonomy | ||||
| City | POMPTON PLAINS |
| Zip Code | 07444 |
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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.