Main Street Meds LLC

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

MAIN STREET MEDS LLC

Practice address

110 W Main St
Saint Clairsville, OH 43950-1225

Phone

(740) 695-0786

Fax

(740) 695-9968

NPI assigned

Oct 29, 2006

Last updated

Nov 16, 2007By 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

Sean Douglass, R.PH

Title

Pharmacist/Owner

Phone

(740) 695-1191

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1162080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1053497354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W MAIN ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501225",
            "telephone_number": "740-695-0786",
            "fax_number": "740-695-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W MAIN ST",
            "city": "SAINT CLAIRSVILLE",
            "state": "OH",
            "postal_code": "439501225",
            "telephone_number": "740-695-0786",
            "fax_number": "740-695-9968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET MEDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-29",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "740-695-1191",
        "authorized_official_credential": "R.PH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2701740",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victor Maevsky, M.D.
• Jodie Magers
• Jordan Nicole Magnani
• Brandy Maguire
• Valerie Ann Maher
• Kortney Manning, PHARMD
• Jeff Allan Manukin, BS
• Allen Henry Marangoni, PHD, PT
• Cynthia Marling
• John P Martin, QMHS-B

• Pharmacist in Saint Clairsville, OH
• Providers in Saint Clairsville, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; 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.