Main Street Pharmacy Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MAIN STREET PHARMACY INC

Practice address

195 S Main St
Lewistown, IL 61542-1412

Phone

(309) 547-3731

Fax

(309) 547-2040

NPI assigned

Feb 15, 2007

Last updated

Aug 22, 2020By 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

Joe Miles

Title

President

Phone

(309) 547-3731

Specialties & licenses 1

Addresses

Tax ID family

Main Street Pharmacy Inc2 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 Inc

  • Community/Retail Pharmacy
  • Lewistown, IL
  • NPI 1417092099
  NPD tax ID

Locations

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144363573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S MAIN ST",
            "city": "LEWISTOWN",
            "state": "IL",
            "postal_code": "615421412",
            "telephone_number": "309-547-3731",
            "fax_number": "309-547-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S MAIN ST",
            "city": "LEWISTOWN",
            "state": "IL",
            "postal_code": "615421412",
            "telephone_number": "309-547-3731",
            "fax_number": "309-547-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-547-3731"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Burch Chiropractic LTD (Burch Chiropractic)
• County of Fulton
• Gretchen Wayne Fawcett, PA-C
• Graham Hospital Association (Graham Medical Group Lewistown)
• Lewistown Cusd 97
• Main Street Pharmacy Inc
• Ronald Joe Miles, RPH
• Amber L Nelson, SSP
• Niemann Foods Inc (County Market Pharmacy 458)
• Phyllis Nugent, RN

• Durable Medical Equipment & Medical Supplies in Lewistown, IL
• Providers in Lewistown, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• 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.