The Main Pharmacy

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

THE MAIN PHARMACY

Practice address

1226 S Main St
Fort Worth, TX 76104-4803

Phone

(817) 938-4352

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Nemuel Pettie

Title

General Counsel

Phone

(972) 489-0007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359676800000",
    "number": "1174862718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11671",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761100671",
            "telephone_number": "817-938-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044803",
            "telephone_number": "817-938-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MAIN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A",
        "authorized_official_last_name": "PETTIE",
        "authorized_official_first_name": "NEMUEL",
        "authorized_official_title_or_position": "GENERAL COUNSEL",
        "authorized_official_telephone_number": "972-489-0007",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.