Main Street Pharmacy 2 LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

PCY.0002154 Issued in CT

Legal business name

MAIN STREET PHARMACY 2 LLC

Doing business as

Main Street Pharmacy

Practice address

345 Main St Ste 7
Danbury, CT 06810-5847

Phone

(203) 297-6130

Fax

(203) 297-6132

NPI assigned

Jan 4, 2010

Last updated

Sep 12, 2023By 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

Dr. Justin James Buturla, PHARMDNPI 1447532148

Title

Owner

Phone

(203) 297-6130

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Main Street Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Justin James Buturla, PHARMD

  • Pharmacist
  • Danbury, CT
  • NPI 1447532148
  NPD (past) Authorized official
• Patrick Charles Harvey, RPH

  • Pharmacist
  • Danbury, CT
  • NPI 1144503848
  NPD

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1245560853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 MAIN ST STE 7",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105847",
            "telephone_number": "203-297-6130",
            "fax_number": "203-297-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 MAIN ST STE 7",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068105847",
            "telephone_number": "203-297-6130",
            "fax_number": "203-297-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "BUTURLA",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-297-6130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "PCY.0002154",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2123385",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joan A Magner, MD
• Aubri Magnifico, M.D.
• Anna S Mah, M.D.
• Shannon Marie Mahoney
• Main Street Dental, PC
• Main Street Pharmacy 2 LLC
• Akinwunmi John Makinde, PHARM.D
• Bianca Malaspina
• Laura Maldonado
• David B Maletzky, DDS

• Pharmacy in Danbury, CT
• Providers in Danbury, CT by specialty
• Pharmacy in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.