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).
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 |
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 #48364 | 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 |
1427158724 | Main Street Pharmacy, LLC | Pharmacy | 3000 Essex Rd, Tinton Falls, NJ 07753-2631 | 2006-09-25 |
Street Address |
4800 FILLMORE AVE |
City | ALEXANDRIA |
State | VA |
Zip Code | 22311-5070 |
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 |
Find all providers in the same location |
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 |
Find all providers in zip 22311 |
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 |
---|---|---|---|---|
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 |
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 |
Find all providers with the same taxonomy |
City | ALEXANDRIA |
Zip Code | 22311 |
Please comment or provide details below to improve the information on MAIN STREET PHARMACY, LLC.
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.