Main Street Pharmacy Incorporated

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MAIN STREET PHARMACY INCORPORATED

Practice address

823 S Main St Ste 102
Corona, CA 92882-3409

Phone

(951) 279-3125

Fax

(951) 279-3127

NPI assigned

Jul 13, 2022

Organization subpart

No

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

Authorized official

Name

Amelia Grace Gines Padilla, RPHNPI 1992752216

Title

Pharmacist in Charge

Phone

(951) 279-3125

Specialties & licenses 1

Addresses

Practitioners 2

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

• Amelia Grace Gines Padilla, RPH

  • Pharmacist
  • Corona, CA
  • NPI 1992752216
  NPD Authorized official
• Maria Cecilia Rivera Kaw, RPH

  • Pharmacist
  • Corona, CA
  • NPI 1518912617
  NPD (past)

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

{
    "created_epoch": "1657670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1154055341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 S MAIN ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 S MAIN ST STE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928823409",
            "telephone_number": "951-279-3125",
            "fax_number": "951-279-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-13",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-01",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "AMELIA GRACE",
        "authorized_official_middle_name": "GINES",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "951-279-3125",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Subhia A Mahmoud
• Mohammad Alamgir Mahmud, MD, MPH, PHD
• John William Mahon, D.D.S.
• Mahraj Corp.
• Michael T. Mai, MD
• Main Street Pharmacy Incorporated
• Mainbridge Surgery Center Inc.
• Makadia and Shah Dental Office
• Radhika Makadia, D.M.D., B.D.S.
• Mustafa Ahmedali Makati, D.D.S.

• Long Term Care Pharmacy in Corona, CA
• Providers in Corona, CA by specialty
• Long Term Care Pharmacy in California

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