MAIN STREET PHARMACY INC (NPI# 1417092099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417092099 |
| Entity Type | Organization |
| Organization Name | MAIN STREET PHARMACY INC |
| Practice Address |
195 S Main St Lewistown IL 61542-1412 |
| Practice Telephone | 3095473731 |
| Practice Fax Number | 3095472040 |
| Mailing Telephone | 3095473731 |
| Mailing Fax Number | 3095472040 |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. RONALD JOE MILES (PRESIDENT) |
| Authorized Official Telephone | 3095473731 |
| 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 |
Suppliers |
| 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 |
| 1013192715 | Main Street Pharmacy Inc | Pharmacy | 140 E Main St, Reedsburg, WI 53959-1936 | 2008-01-02 |
| 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 |
195 S MAIN ST |
| City | LEWISTOWN |
| State | IL |
| Zip Code | 61542-1412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144363573 | Main Street Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 195 S Main St, Lewistown, IL 61542-1412 | 2007-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528379906 | County of Fulton | Public Health or Welfare | 100 N Main St, Lewistown, IL 61542-0111 | 2010-06-30 |
| 1942489745 | Harry E Burch | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2007-10-29 |
| 1326040866 | James Victor Burch | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2005-08-15 |
| 1598767576 | Burch Chiropractic Ltd | Chiropractor | 510 N Main St, Lewistown, IL 61542-1143 | 2005-08-10 |
| 1295804722 | Jaime Humberto Cercone | General Practice | 501 W Milton Ave, Lewistown, IL 61542-1322 | 2006-11-07 |
| 1184064156 | R & Q Corporation | Pharmacy | 193 S Main St, Lewistown, IL 61542-1412 | 2013-07-05 |
| 1750527172 | Graham Hospital Association | Family Medicine | 408 S. Main Street, Lewistown, IL 61542-1563 | 2009-01-07 |
| 1588758700 | Gretchen Wayne Fawcett | Physician Assistant | 408 S Main St, Lewistown, IL 61542-1563 | 2006-10-03 |
| 1841558012 | Niemann Foods Inc | Pharmacy | 518 S Main St, Lewistown, IL 61542-1565 | 2012-04-25 |
| 1376504969 | Prairie View Care Center of Lewistown, Inc | Skilled Nursing Facility | 175 E Sycamore Dr, Lewistown, IL 61542-1749 | 2006-03-31 |
| Find all providers in zip 61542 | ||||
| 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 |
|---|---|---|---|---|
| 1558465385 | Pennsylvania Cvs Pharmacy, L.L.C. | Pharmacy | 33 E Market St, Lewistown, PA 17044-2124 | 2006-09-12 |
| 1487901468 | Niemann Foods Inc | Pharmacy | 219 W Main St, Lewistown, IL 63452 | 2012-08-09 |
| 1922013705 | Seiden Drug Company Inc. | Pharmacy | 310 Wendell Ave, Suite #102, Lewistown, MT 59457-2267 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538582 | Wilmington Pharmacy LLC | Pharmacy | 600 W Baltimore St, Wilmington, IL 60481-1281 | 2020-11-03 |
| 1952909632 | Cordant Pharmacy Illinois, LLC | Pharmacy | 8623 W Bryn Mawr Ave Ste 504, Chicago, IL 60631-3525 | 2020-10-14 |
| 1386242352 | Letitride, Inc. | Pharmacy | 501 W Oak Street, Fairbury, IL 61739 | 2020-10-13 |
| 1699389890 | J2sb LLC | Pharmacy | 398 W Army Trail Rd Ste 120, Bloomingdale, IL 60108-2398 | 2020-09-04 |
| 1891308045 | Apotheco Pharmacy Lincoln Park LLC | Pharmacy | 2140 N Halsted St, Chicago, IL 60614-4385 | 2020-08-27 |
| 1982217345 | Costco Wholesale Corporation | Pharmacy | 2002 N. Neil St., Champaign, IL 61820 | 2020-08-26 |
| 1710599485 | Costco Wholesale Corporation | Pharmacy | 16261 S Boulevard Pl, Plainfield, IL 60586-4400 | 2020-08-23 |
| 1982212635 | Grand Pharmacy LLC | Pharmacy | 229 W Grand Ave Ste F, Bensenville, IL 60106-3365 | 2020-07-20 |
| 1871110254 | Illini Clinic Pharmacy Inc | Pharmacy | 103 N Prospect St, Cambridge, IL 61238-1148 | 2020-07-01 |
| 1831716745 | The Project of The Quad Cities | Pharmacy | 1701 River Dr Ste 106, Moline, IL 61265-1384 | 2020-06-26 |
| 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.