Main Street Family Pharmacy, LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

0000000895 Issued in TN

Legal business name

MAIN STREET FAMILY PHARMACY, LLC

Practice address

126 E Main St
Newbern, TN 38059-1527

Phone

(731) 627-2221

Fax

(731) 627-6152

NPI assigned

Oct 10, 2008

Last updated

Oct 10, 2008By 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

Christy NewbakerNPI 1306015573

Title

Owner

Phone

(731) 627-2221

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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.

• Christy R Newbaker

  • Pharmacist
  • Newbern, TN
  • NPI 1306015573
  Authorized official Same address or phone

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223596800000",
    "number": "1407007222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591527",
            "telephone_number": "731-627-2221",
            "fax_number": "731-627-6152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 E MAIN ST",
            "city": "NEWBERN",
            "state": "TN",
            "postal_code": "380591527",
            "telephone_number": "731-627-2221",
            "fax_number": "731-627-6152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET FAMILY PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2008-10-10",
        "status": "A",
        "authorized_official_last_name": "NEWBAKER",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "731-627-2221"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TN",
            "license": "0000000895",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "0000000895",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane S Lamb, PHARM. D
• William W. Lents II, D.D.S.
• Ma Davis Enterprises, LLC (Newbern Drug Healthmart)
• Ma Davis Enterprises, LLC (Newbern Drug Healthmart)
• Main Street Family Pharmacy LLC
• Beverly D McCann, FNP
• Sara Ellen Moody, LCSW
• Clint Edward Myers, PHARM D
• Christy R Newbaker
• David Allen Newbaker, DPH

• Pharmacy in Newbern, TN
• Providers in Newbern, TN by specialty
• Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; 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.