| NPI | 1306505763 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2021-12-14 |
| Last Updated | 2021-12-14 |
| Authorized Official | Carol Jones Manager Phone: 3044657200 |
| Mailing Address | 4501 Maccorkle Ave Sw Ste 101 South Charleston, WV 25309-1444 United States Phone: (304) 766-8484 | Fax: (304) 766-8344 📍 View Map |
| Primary Practice Address | 4501 Maccorkle Ave Sw Ste 101 South Charleston, WV 25309-1444 United States Phone: (304) 766-8484 | Fax: (304) 766-8344 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 3336C0003X – Pharmacy, Community/Retail Pharmacy | - | - |
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About NPI 1306505763
Main Street Pharmacy Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1306505763. The primary specialty listed is Pharmacy, Community/Retail Pharmacy. The organization is located in South Charleston, WV. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2021-12-14. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1306505763?
NPI 1306505763 belongs to Main Street Pharmacy Inc, a Pharmacy, Community/Retail Pharmacy in South Charleston, WV. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1306505763 active?
The current status of NPI 1306505763 in the NPPES registry is Active. The record was last updated on 2021-12-14.
What specialty is NPI 1306505763?
NPI 1306505763 is classified under the taxonomy Pharmacy, Community/Retail Pharmacy. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1306505763?
You can verify NPI 1306505763 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1306505763?
The primary practice address on file for NPI 1306505763 is 4501 Maccorkle Ave Sw Ste 101, South Charleston, WV 25309-1444. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1306505763 issued?
NPI 1306505763 was first issued (enumerated) on 2021-12-14. The NPPES record was last updated on 2021-12-14.
Practice Location Map
Main Street Pharmacy Inc is located at 4501 Maccorkle Ave Sw Ste 101, South Charleston, WV. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Main Street Pharmacy Inc. All records sourced from the CMS NPPES registry.