NPIMap

Organization Active NPI

Main Street Pharmacy LLC

Doing business as Main Street Pharmacy

  • Community/Retail Pharmacy
  • Durham, NC
National Provider Identifier
1144374596
Registry record updated May 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
09053 Issued in NC
Legal business name
MAIN STREET PHARMACY LLC
Doing business as
Main Street Pharmacy
Practice address
213 W Main St Ste a
Durham, NC 27701-3258
Phone
(919) 688-1368
Fax
(919) 682-3191
NPI assigned
Jan 23, 2007
Last updated
May 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2022

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

Authorized official

Name
Finny Joseph, RPH
Title
Owner
Phone
(919) 688-1368

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 09053 NC Primary

Addresses

Primary practice location

213 W Main St Ste a
Durham, NC 27701-3258

Mailing address

213 W Main St Ste a
Durham, NC 27701-3258
Phone (919) 688-1368

Other identifiers 2

IdentifierTypeStateIssuer
1144374596MedicaidNC
2068558OtherPK

Other names 1

  • MAIN STREET PHARMACY Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

213 W Main St
Ste A
Durham, NC 27701
Phone (919) 688-1368

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652400000000",
    "number": "1144374596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 W MAIN ST STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013258",
            "telephone_number": "919-688-1368",
            "fax_number": "919-682-3191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 W MAIN ST STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277013258",
            "telephone_number": "919-688-1368",
            "fax_number": "919-682-3191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "FINNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-688-1368",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "09053",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144374596",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2068558",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MAIN STREET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; 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.