Mainstreet Drugs, Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114328 Issued in AL

Legal business name

MAINSTREET DRUGS, INC

Practice address

2319 Cogswell Ave
Ste 400
Pell City, AL 35125-1734

Phone

(205) 369-2391

Fax

(205) 629-7450

NPI assigned

Apr 3, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Curtis Marshall Eddy, PHARM DNPI 1588009419

Title

Owner/Pharmacist

Phone

(205) 629-6303

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Curtis M Eddy, PHARM D

  • Pharmacist
  • Odenville, AL
  • NPI 1588009419
  Authorized official Same address or phone
• Jennifer Baldone, PHARMD

  • Pharmacist
  • Odenville, AL
  • NPI 1124424288
  NPD

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

{
    "created_epoch": "1396483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398902400000",
    "number": "1043638356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 787",
            "city": "ODENVILLE",
            "state": "AL",
            "postal_code": "351200787",
            "telephone_number": "205-369-2391",
            "fax_number": "205-629-7450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 COGSWELL AVE",
            "address_2": "STE 400",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251734",
            "telephone_number": "205-369-2391",
            "fax_number": "205-629-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREET DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-03",
        "last_updated": "2014-05-01",
        "status": "A",
        "authorized_official_last_name": "EDDY",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "205-629-6303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158709",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Coe Lockhart, DNP
• Brooke Lowery
• Allyson Hope Maddox, M.S.
• Main Street Clinic, LLC
• Main Street Medical Clinic LLC
• Farzana Malik, M.D.
• Tucker Lee Malone, PHARMD
• Ashley Mardis, PHARMD
• Wendy Maronge
• Jessica Marshman

• Community/Retail Pharmacy in Pell City, AL
• Providers in Pell City, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.