Mainstreet Drug PA

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

210144 Issued in KS

Legal business name

MAINSTREET DRUG PA

Practice address

103 W Main St
Osborne, KS 67473-2402

Phone

(785) 346-2136

Fax

(785) 346-5898

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Kaylene Heller

Title

Phrmd

Phone

(785) 346-2136

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS

Enrollment records 1

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

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Gwen Sturdy, R.PH.

  • Pharmacist
  • Osborne, KS
  • NPI 1366037533
  NPD (past)

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

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1104013713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674732402",
            "telephone_number": "785-346-2136",
            "fax_number": "785-346-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 W MAIN ST",
            "city": "OSBORNE",
            "state": "KS",
            "postal_code": "674732402",
            "telephone_number": "785-346-2136",
            "fax_number": "785-346-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREET DRUG PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "KAYLENE",
        "authorized_official_title_or_position": "PHRMD",
        "authorized_official_telephone_number": "785-346-2136"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "210144",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2027814",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte A Emerson, CPTA
• Taylor Funke, D.C., M.S
• Erin Kibbe, RN
• Melinda Ann Kimple, LSCSW
• Jacob William Ludwig, D.C.
• Katherine Rose May, APRN
• Duane C Muck, OD
• Osborne Chiropractic Center LLC
• Osborne County Memorial Hospital
• Osborne County Memorial Hospital

• Community/Retail Pharmacy in Osborne, KS
• Providers in Osborne, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.