Main Street Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

25848 Issued in TX

Legal business name

MAIN STREET PHARMACY INC

Practice address

12361 Main St
Houston, TX 77035-6200

Phone

(713) 729-3800

Fax

(713) 729-3837

NPI assigned

Feb 19, 2008

Organization subpart

No

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

Authorized official

Name

JW Ligon, RPH

Title

Phrmd

Phone

(713) 747-6116

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• MAIN STREET PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1346418837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 TALLOW LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770213216",
            "telephone_number": "713-747-6116",
            "fax_number": "713-741-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 MAIN ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770356200",
            "telephone_number": "713-729-3800",
            "fax_number": "713-729-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-19",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "LIGON",
        "authorized_official_first_name": "JW",
        "authorized_official_title_or_position": "PHRMD",
        "authorized_official_telephone_number": "713-747-6116",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4547571",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN STREET PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Maidl, MD
• Stacey Jay Maier, NP
• Maikol Home Health Care, LLC
• Sheila Maillard, DO, MBA
• Main Street Health Partners, P.C.
• Main Street Pharmacy, LLC
• Main Street Physical Therapy Solutions
• Main Street Physical Therapy Solutions Inc
• Main Street Physicians Group PLLC
• Main Street Speech Therapy Clinic

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2009; 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.