Pharmacy on Main Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

PHARMACY ON MAIN INC

Doing business as

Main St Pharmacy

Practice address

764 Main St
Paterson, NJ 07503-3298

Phone

(973) 278-9000

Fax

(973) 278-9002

NPI assigned

Jul 2, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Ahmed G. Ahmed

Title

Owner

Phone

(973) 278-9000

Specialties & licenses 1

Addresses

Other names 1

• Main St Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ2 enrollments

Enrollment records 2

Tax ID family

Main St Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pharmacy on Main Inc

  • Long Term Care Pharmacy
  • Paterson, NJ
  • NPI 1942137831
  NPD tax ID

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

{
    "created_epoch": "1719878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1285470948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033298",
            "telephone_number": "973-278-9000",
            "fax_number": "973-278-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 MAIN ST",
            "city": "PATERSON",
            "state": "NJ",
            "postal_code": "075033298",
            "telephone_number": "973-278-9000",
            "fax_number": "973-278-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHARMACY ON MAIN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-278-9000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main St Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PG Home Care Inc
• Duyen Pham, PHAM.D,
• Pharmacy Express Inc
• Pharmacy Express Inc
• Pharmacy Express Inc
• Pharmacy on Main Inc
• Simi Ann Philip
• Philips Academy Charter School of Paterson
• Phoenix Physicians LLC
• Phylco, LTD (White Birch Nursing Home)

• Community/Retail Pharmacy in Paterson, NJ
• Providers in Paterson, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; 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.