North Main Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH26273 Issued in FL

Legal business name

NORTH MAIN PHARMACY

Doing business as

North Main Pharmacy

Practice address

12405 N Main St Ste 3
Jacksonville, FL 32218-2609

Phone

(904) 696-0265

NPI assigned

Jul 31, 2012

Last updated

Feb 21, 2013By 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

Sanjay Ramcharan

Title

Manager

Phone

(904) 696-0265

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• NORTH MAIN PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1619223351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12405 NORTH MAIN STREET",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "904-696-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12405 N MAIN ST STE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182609",
            "telephone_number": "904-696-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH MAIN PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "RAMCHARAN",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-696-0265"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH26273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5711177",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH MAIN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; 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.