MAIN STREET PHARMACY, LLC


Address: 4800 Fillmore Ave, Alexandria, VA 22311-5070
Phone: 7038241352

MAIN STREET PHARMACY, LLC (NPI# 1942300223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942300223
Entity Type Organization
Organization Name MAIN STREET PHARMACY, LLC
Other Organization Name CVS PHARMACY #48364
Practice Address 4800 Fillmore Ave
Alexandria
VA 22311-5070
Mailing Address 1 Cvs Dr
Box 1075
Woonsocket
RI 02895-6146
Practice Telephone 7038241352
Practice Fax Number 7038241353
Mailing Telephone 4017651500
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3336L0003X Pharmacy
Specialization: Long Term Care Pharmacy
Suppliers

Other Provider/Organization Names

Other Name Type Code
CVS Pharmacy #48364 Doing Business As Name - Organization

Other Provider IDs and Locations

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
1427158724 Main Street Pharmacy, LLC Pharmacy 3000 Essex Rd, Tinton Falls, NJ 07753-2631 2006-09-25

Office Location

Street Address 4800 FILLMORE AVE
City ALEXANDRIA
State VA
Zip Code 22311-5070

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629069851 Goodwin House Incorporated Skilled Nursing Facility 4800 Fillmore Ave, Alexandria, VA 22311-5070 2005-11-05
1194350082 Sybil Meeley Physical Therapy Assistant 4800 Fillmore Ave, Alexandria, VA 22311-5070 2020-03-11
1497380026 Leslie Casaday Occupational Therapist 4800 Fillmore Ave, Alexandria, VA 22311-5070 2020-03-04
1215576103 Chante Warner Occupational Therapist 4800 Fillmore Ave, Alexandria, VA 22311-5070 2019-12-26
1972149276 Megan Smith Physical Therapist 4800 Fillmore Ave, Alexandria, VA 22311-5070 2019-11-21
1912488289 Bryanna I Schwarting Speech-Language Pathologist 4800 Fillmore Ave, Alexandria, VA 22311-5070 2018-08-24
1750897849 Kathleen Ryan Beard Speech-Language Pathologist 4800 Fillmore Ave, Alexandria, VA 22311-5070 2017-12-27
1932615531 Dana Sasse Speech-Language Pathologist 4800 Fillmore Ave, Alexandria, VA 22311-5070 2017-12-18
1578909453 Lauren S. Latham Occupational Therapist 4800 Fillmore Ave, Alexandria, VA 22311-5070 2013-05-17
1851655443 Christine Roach-birden Nurse Practitioner 4800 Fillmore Ave, Alexandria, VA 22311-5070 2012-06-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356995898 Tika Trotter-mason Counselor 1900 N Beauregard Street, Alexandria, VA 22311 2019-08-01
1386179414 Marian Ramirez Bautista Nurse Practitioner 2000 N Beauregard St. Suite 330, Alexandria, VA 22311 2017-04-26
1710294327 Heather Jo Knowles Scharre Behavioral Analyst 4876 West Braddock Road, Alexandria, VA 22311 2010-09-02
1790001980 Soft Dentistry Clinic/Center 5508 Seminary Rd, Alexandria, VA 22311 2010-04-13
1093946469 David John Anderson Dentist 5192 Dawes Avenue, Alexandria, VA 22311 2009-08-04
1114109410 Chong W. Lee, M.d., P.C. Surgery 4901 Seminary Road, #110, Alexandria, VA 22311 2007-11-29
1922298819 Ramia Gupta Psychiatry & Neurology 4551 Strutfield Lane, #4220, Alexandria, VA 22311 2007-07-27
1942422431 Sheila Jahan Md PC Psychiatry & Neurology 5238 Dawes Ave, Alexandria, VA 22311 2007-05-03
1457497380 Elizabeth Anne Teegarden Psychologist 5276 Dawes Avenue, Alexandria, VA 22311 2007-01-29
1609932292 James A Snyder Dentist 5284 Dawes Avenue, Alexandria, VA 22311 2006-12-28
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Taxonomy Information

Taxonomy Code 3336L0003X
Grouping Suppliers
Classification Pharmacy
Specialization Long Term Care Pharmacy

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205155744 Ccc Pharmacy, LLC Pharmacy 180 Windermere Blvd, Alexandria, LA 71303-3535 2010-05-24
1487737565 Pearson Specialty Pharmacy LLC Pharmacy 2804 N Bolton Ave, Alexandria, LA 71303-4509 2006-10-23
1336245588 Pharmed Holdings LLC Pharmacy 3108 Jackson St, Alexandria, LA 71301-4746 2006-09-15
1063068864 Neighborhood Pharmacies Inc Pharmacy 2204 Mount Vernon Ave, Alexandria, VA 22301-1314 2019-08-16
1467755264 Ccc Pharmacy LLC Pharmacy 180 Windermere Blvd, Alexandria, LA 71303-3535 2010-12-16
1669544458 Rix Pharmacy Pa Pharmacy 1525 Broadway St, Suite 100, Alexandria, MN 56308-3007 2006-11-15

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053957787 Vithalla, LLC Pharmacy 8573 Sudley Rd, Manassas, VA 20110-3808 2019-11-18
1730738170 Hope Pharmacy, Inc. Pharmacy 1330 N 25th St, Richmond, VA 23223-5243 2019-09-09
1790202695 Friendship Pharmacy, Inc. Pharmacy 327 Hershberger Rd., Roanoke, VA 24012 2017-08-23
1346770856 Claypool Hill Pharmacy Pharmacy 12252 Governor G C Peery Hwy, Pounding Mill, VA 24637-4272 2017-06-18
1841738895 Martinsville Pharmacy Inc Pharmacy 1049 Brookdale St Ste A, Martinsville, VA 24112-3972 2017-02-09
1457898892 Valley Pharmacies, Inc. Pharmacy 6701 Peters Creek Rd Ste 109, Roanoke, VA 24019-4060 2017-01-24
1679929145 Central Virginia Pharmacy Consultants PC Pharmacy 20276 Timberlake Rd, Lynchburg, VA 24502-7214 2016-05-13
1134587181 Pharmacy Corporation of America Pharmacy 4423 Pheasant Ridge Rd, Suite 205, Roanoke, VA 24014-5299 2016-02-05
1447500400 Guardian Pharmacy of Virginia LLC Pharmacy 860 Stafford Umberger Dr, Wytheville, VA 24382 2012-09-17
1376825547 Legacy Consultant Pharmacy Pharmacy 7505 Right Flank Rd Ste 710, Mechanicsville, VA 23116-3865 2011-09-14
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Competitor

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City ALEXANDRIA
Zip Code 22311

Improve Information

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Dataset Information

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.

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