Main Street Pharmacy

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

MAIN STREET PHARMACY

Practice address

5500 Fire Station Rd Ste a
Zachary, LA 70791-7468

Phone

(225) 451-5804

NPI assigned

Oct 27, 2023

Organization subpart

No

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

Authorized official

Name

Mr. James Witschen Bryce II, RPHNPI 1548597073

Title

Manager

Phone

(225) 451-5804

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• James Witschen Bryce II, RPH

  • Pharmacist
  • Zachary, LA
  • NPI 1548597073
  NPD Authorized official

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1225800733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 FIRE STATION RD STE A",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917468",
            "telephone_number": "225-451-5804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 FIRE STATION RD STE A",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917468",
            "telephone_number": "225-451-5804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "BRYCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WITSCHEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "225-451-5804",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Margaret Macdonald, M.S./S.L.P
• Jeffery Kirk Machen, D.D.S.
• Marisol Macias
• Traci Dajonai Maddrick
• Candace Fletcher Maggio, NP
• Mal-Son's DME
• Christy Mamou, PSY,D
• Renee Forbes Mann
• Terrell S Manuel, DNP, FNP, PMHNP-BC
• Karen D Marchand, LCSW

• Specialty Pharmacy in Zachary, LA
• Providers in Zachary, LA by specialty
• Specialty Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.