MAIN STREET PHARMACY, LLC (NPI# 1457448672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457448672 |
| Entity Type | Organization |
| Organization Name | MAIN STREET PHARMACY, LLC |
| Other Organization Name | NEIGHBORCARE-SHANNONDELL |
| Practice Address |
10000 Shannondell Dr Audubon PA 19403-5615 |
| Mailing Address |
100 E Rivercenter Blvd Suite 1600 Covington KY 41011-1555 |
| Practice Telephone | 6107285600 |
| Mailing Telephone | 4103479281 |
| Enumeration Date | 2006-10-09 |
| Last Update Date | 2007-07-09 |
| Authorized Official Name | REGIS ROBBINS (SECRETARY) |
| Authorized Official Telephone | 4103479281 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PP481452 | PA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1016201930001 | 05 | |
| NCPDP | 3984019 | 01 |
| Other Name | Type Code |
|---|---|
| NeighborCare-Shannondell | 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 |
| 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 |
| 1427158724 | Main Street Pharmacy, LLC | Pharmacy | 3000 Essex Rd, Tinton Falls, NJ 07753-2631 | 2006-09-25 |
| Street Address |
10000 SHANNONDELL DR |
| City | AUDUBON |
| State | PA |
| Zip Code | 19403-5615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003836768 | Meng-chao Lee | Family Medicine | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2006-07-19 |
| 1972982247 | Shannondell Inc. | Clinic/Center | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2015-05-20 |
| 1245618818 | Jennifer Taylor | Physical Therapy Assistant | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2015-05-14 |
| 1891173605 | Lisa Schopf | Physical Therapy Assistant | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2015-05-13 |
| 1235517095 | Sarah Elisabeth Gemmell I | Occupational Therapy Assistant | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2015-05-13 |
| 1750769576 | Pamela Hooks | Physical Therapy Assistant | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2015-05-13 |
| 1992183750 | Julia Pijawka | Occupational Therapy Assistant | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2015-05-13 |
| 1548648405 | Sandra Holms | Occupational Therapist | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2015-05-12 |
| 1043698947 | Kimberly Hickman | Occupational Therapist | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2015-05-12 |
| 1447638598 | Wendy Marcolina | Occupational Therapy Assistant | 10000 Shannondell Dr, Audubon, PA 19403-5615 | 2015-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720696099 | Sai Charan Vedula | Internal Medicine | Einstein Medical Center Montgomery, 559 West Germantown Pike, East Norriton, PA 19403 | 2020-07-22 |
| 1255951869 | Jillian Nicole Zerbe | Student in an Organized Health Care Education/Training Program | 3005 Concord Cir, Eagleville, PA 19403 | 2020-04-23 |
| 1649745951 | Gigi Y Frasse | Nurse Practitioner | 10000 Shannondell Drive Main Line Healthcare, Audobon, PA 19403 | 2018-10-12 |
| 1831616002 | Sharlee Dischert | Occupational Therapist | The Arc Alliance Children's Services, 3075 Ridge Pike, Eagleville, PA 19403 | 2017-08-28 |
| 1033633029 | Lauren Aaronson | Social Worker | 2418 Single Tree Lane, Trooper, PA 19403 | 2017-08-01 |
| 1306377288 | Matthew Johnson | Specialist/Technologist | 713 Mill Grove Dr, Audubon, PA 19403 | 2017-03-23 |
| 1720526080 | Dayna Greiner | Speech-Language Pathologist | 70 Bristol Court, Eagleville, PA 19403 | 2017-02-07 |
| 1669928636 | Samantha L Hankey | Specialist/Technologist | 1208 Stonybrook Dr, Norristown, PA 19403 | 2016-08-30 |
| 1154788008 | Noel Patrick Hamilton | Nurse Practitioner | 508 Bassett Lane, Norristown, PA 19403 | 2016-01-23 |
| 1265866115 | Christiana Jo Silcox | Counselor | 128 Riversedge Drive, Jeffersonville, PA 19403 | 2013-08-28 |
| Find all providers in zip 19403 | ||||
| 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 |
|---|---|---|---|---|
| 1295292175 | Audubon Family Pharmacy Inc | Pharmacy | 2812 Egypt Rd Ste E, Audubon, PA 19403-2195 | 2019-02-27 |
| 1245281450 | Kimwood, Inc. | Pharmacy | 316 Broadway St, Audubon, IA 50025-1104 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376143990 | Valerie Hellriegel | Pharmacy | 567 N Route 100, Bechtelsville, PA 19505-9263 | 2020-11-01 |
| 1134729791 | John P Russo | Pharmacy | 608 E Hillcrest Ave, New Castle, PA 16105-2254 | 2020-10-31 |
| 1538769864 | Luzerne Discount Pharmacy Inc | Pharmacy | 101 Main St Unit D, Luzerne, PA 18709-1209 | 2020-10-27 |
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1780290197 | Weis Markets, Inc. | Pharmacy | 112 Atlantic Ave., Dingmans Ferry, PA 18328 | 2020-09-21 |
| 1275146177 | Newport Pharmacy LLC | Pharmacy | 57 S 2nd St, Newport, PA 17074-1402 | 2020-08-28 |
| 1699387779 | Allegheny Valley Hospital Retail Pharmacy | Pharmacy | 1301 Carlisle St Fl 3, Natrona Heights, PA 15065-1152 | 2020-08-19 |
| 1396355426 | Mdk Health | Pharmacy | 3985 Columbia Ave Unit 2, Columbia, PA 17512-9003 | 2020-08-04 |
| 1861000861 | Koso,llc | Pharmacy | 407 Shadeland Ave, Drexel Hill, PA 19026-1437 | 2020-07-16 |
| 1184241408 | Roosevelt Pharmacy LLC | Pharmacy | 2600 Cottman Ave, Philadelphia, PA 19149-1301 | 2020-07-02 |
| 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.