Main Sail Enterprises-Downtown LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

2015012288 Issued in MO

Legal business name

MAIN SAIL ENTERPRISES-DOWNTOWN LLC

Practice address

655 S Campbell Ave
Springfield, MO 65806-2901

Phone

(417) 343-0635

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Charles David Kerr, RPH

Title

Member

Phone

(417) 343-0635

Specialties & licenses 1

Addresses

Other names 1

• dba DOWNTOWN PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1588042816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 W CHESTERFIELD BLVD",
            "address_2": "SUITE C100-125",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658076946",
            "telephone_number": "417-343-0635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062901",
            "telephone_number": "417-343-0635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN SAIL ENTERPRISES-DOWNTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "417-343-0635",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "2015012288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba DOWNTOWN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erica Lynn Mahn, PHARMD
• Robert F. Mahnken, MD
• Lauren Maib, BCBA
• Joseph L Mailloux, M.D.
• Main Sail Enterprises South LLC
• Katelynn Main, DO
• Keith Edwin Mainprize, D.C.
• Taylor Majors, RN
• Vyacheslav I Makler, D.O.
• Antonio Maldonado, OTA

• Community/Retail Pharmacy in Springfield, MO
• Providers in Springfield, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2015; 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.