MAIN STREET PHARMACY, LLC (NPI# 1427158724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427158724 |
| Entity Type | Organization |
| Organization Name | MAIN STREET PHARMACY, LLC |
| Other Organization Name | CVS PHARMACY #48304 |
| Practice Address |
3000 Essex Rd Tinton Falls NJ 07753-2631 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 7326432041 |
| Practice Fax Number | 7329189401 |
| Enumeration Date | 2006-09-25 |
| 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 #48304 | 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 |
3000 ESSEX RD |
| City | TINTON FALLS |
| State | NJ |
| Zip Code | 07753-2631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043295918 | Rogelio Ocdinaria Buyo | Nurse Practitioner | 3000 Essex Rd, Tinton Falls, NJ 07753-2400 | 2005-12-13 |
| 1699298240 | Christine Costa | Social Worker | 3000 Essex Rd, Tinton Falls, NJ 07753-2400 | 2017-07-25 |
| 1124304159 | Ijeoma Adamma Okeke | Nurse Practitioner | 3000 Essex Rd, Tinton Falls, NJ 07753-2631 | 2011-10-21 |
| 1467766154 | Erickson Health Medical Group of New Jersey, PC | Durable Medical Equipment & Medical Supplies | 3000 Essex Rd, Tinton Falls, NJ 07753-2631 | 2010-08-05 |
| 1275777609 | Rebekah Katherine Adamczyk | Internal Medicine | 3000 Essex Rd, Tinton Falls, NJ 07753-2400 | 2009-04-29 |
| 1316103781 | Erickson Health Medical Group of Nj PC | Durable Medical Equipment & Medical Supplies | 3000 Essex Rd, Tinton Falls, NJ 07753-2631 | 2008-08-05 |
| 1538336359 | Sr Campus Primary Care Physicians PC | Registered Nurse | 3000 Essex Rd, Tinton Falls, NJ 07753-2631 | 2008-05-12 |
| 1659593770 | Lenora Ann Tafuri-acevedo | Registered Nurse | 3000 Essex Rd, Seabrook Village, Tinton Falls, NJ 07753-2400 | 2007-05-02 |
| 1831318955 | Debra Lemasters-parzel | Registered Nurse | 3000 Essex Rd, Tinton Falls, NJ 07753-2631 | 2007-04-25 |
| 1558413617 | Aileen C Estavillo | Internal Medicine | 3000 Essex Rd, Tinton Falls, NJ 07753-2631 | 2007-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
| Find all providers in zip 07753 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | TINTON FALLS |
| Zip Code | 07753 |
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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.