Main Street Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MAIN STREET PHARMACY, INC.

Doing business as

Main Street Pharmacy

Practice address

435 W Main St
Oak Hill, WV 25901

Phone

(304) 465-7200

Fax

(304) 465-0377

NPI assigned

May 10, 2006

Last updated

Sep 4, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jawed Ali Sherwani, RPH

Title

Owner

Phone

(304) 465-7200

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Main Street Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Main Street Pharmacy Inc

  dba Clark's Family Pharmacy Inc.

  • Community/Retail Pharmacy
  • South Charleston, WV
  • NPI 1306505763

  4880705789

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Main Street Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Main Street Pharmacy

  dba Mount Hope Pharmacy

  • Community/Retail Pharmacy
  • Mount Hope, WV
  • NPI 1942556527
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1033169420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 W MAIN ST",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "25901",
            "telephone_number": "304-465-7200",
            "fax_number": "304-465-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 W MAIN ST",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "25901",
            "telephone_number": "304-465-7200",
            "fax_number": "304-465-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "SHERWANI",
        "authorized_official_first_name": "JAWED",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-465-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020031000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Loving Arms LLC
• Loving Arms LLC
• Adam Lowe
• Terry Lyons
• Serafino S Maducdoc, MD
• Christina Manley
• Chrystal Manley
• Curstin Manley
• Kaylee Manley
• Lisa Charlene Manley

• Pharmacy in Oak Hill, WV
• Providers in Oak Hill, WV by specialty
• Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.