Main Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

RP0002010 Issued in WV

Legal business name

MAIN PHARMACY

Practice address

Main Street
Masontown, WV 26542-0160

Phone

(304) 864-5711

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Lydia D Main

Title

Owner, R.PH.

Phone

(304) 864-5711

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053474155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "city": "MASONTOWN",
            "state": "WV",
            "postal_code": "265420160",
            "telephone_number": "304-864-5711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MAIN STREET",
            "city": "MASONTOWN",
            "state": "WV",
            "postal_code": "265420160",
            "telephone_number": "304-864-5711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAIN",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER, R.PH.",
        "authorized_official_telephone_number": "304-864-5711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "RP0002010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0142032000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene D Layman
• Rickey Ray Layman
• Carrie Jo Lopez
• Deserai Sierra Louk
• Karen Sue Luzier
• Maria Angela Mancuso
• Haley Martin
• Brandy Mayle
• Albert Gene Mays, D.O.
• Vicky Lynn Mays, D.O.

• Community/Retail Pharmacy in Masontown, WV
• Providers in Masontown, WV by specialty
• Community/Retail Pharmacy in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.