East Main Medical Pharmacy

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

Legal business name

EAST MAIN MEDICAL PHARMACY

Practice address

2524 E Main St
Ste B
Stockton, CA 95205-6523

Phone

(209) 463-1191

Fax

(209) 463-3229

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Will Clay

Title

Owner

Phone

(209) 463-1191

Specialties & licenses 3

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1467517888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2524 E MAIN ST",
            "address_2": "STE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952056523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E MAIN ST",
            "address_2": "STE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952056523",
            "telephone_number": "209-463-1191",
            "fax_number": "209-463-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST MAIN MEDICAL PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "WILL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-463-1191"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CA",
            "license": "PHY37064",
            "primary": false
        },
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0548365",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA370640",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinic Pharmacy in Stockton, CA
• Providers in Stockton, CA by specialty
• Clinic Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.