Active NPI
Main Street Pharmacy Inc
- Community/Retail Pharmacy
- Lewistown, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MAIN STREET PHARMACY INC
- Practice address
- 195 S Main St
Lewistown, IL 61542-1412 - Phone
- (309) 547-3731
- Fax
- (309) 547-2040
- NPI assigned
- Feb 21, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ronald Joe Miles, RPH
- Title
- President
- Phone
- (309) 547-3731
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | NU | Primary |
Addresses
Primary practice location
195 S Main St
Lewistown, IL 61542-1412
Mailing address
195 S Main St
Lewistown, IL 61542-1412
Phone (309) 547-3731
National Provider Directory
National Provider Directory- Tax ID family
- Main Street Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Lewistown, IL
- NPI 1144363573
Practitioners & affiliated clinicians
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.
-
- Pharmacist
- Lewistown, IL
- NPI 1871183921
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1417092099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "195 S MAIN ST",
"city": "LEWISTOWN",
"state": "IL",
"postal_code": "615421412",
"telephone_number": "309-547-3731",
"fax_number": "309-547-2040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "195 S MAIN ST",
"city": "LEWISTOWN",
"state": "IL",
"postal_code": "615421412",
"telephone_number": "309-547-3731",
"fax_number": "309-547-2040"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIN STREET PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MILES",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "JOE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "309-547-3731",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewistown, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.