Organization Active NPI

C & B Main Discount Drug Center, Inc

  • Community/Retail Pharmacy
  • Kinsman, OH
National Provider Identifier
1720012958
Registry record updated Mar 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02369400 Issued in OH
Legal business name
C & B MAIN DISCOUNT DRUG CENTER, INC
Practice address
8507 Main St
Kinsman, OH 44428-9333
Phone
(330) 876-1228
Fax
(330) 876-1229
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2008

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

Authorized official

Name
Mr. Edward L Ting, RPHNPI 1891808408
Title
President
Phone
(330) 876-1228

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02369400 OH Primary
Long Term Care Pharmacy 3336L0003X 02369400 OH

Addresses

Primary practice location

8507 Main St
Kinsman, OH 44428-9333

Mailing address

8507 Main St
Kinsman, OH 44428-9333
Phone (330) 876-1228

Other identifiers 1

IdentifierTypeStateIssuer
0529771MedicaidOH

Other names 1

  • MAIN DISCOUNT DRUG Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20061220000550 OH Part B Supplier - Mass Immunization (Roster Biller Only) 6406855477 Practice locations: Kinsman, OH
O20100930090801 OH DME Supplier - Pharmacy 6406855477 Practice locations: Kinsman, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
C & B Main Discount Drug Center, in8507 Main St, Kinsman, OH 44428-9333(330) 876-1228 Epoetin|Immunosuppressive Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs Accepts assignmentParticipating since Feb 1, 2001

National Provider Directory

National Provider Directory

Locations

8507 Main St
Kinsman, OH 44428
Phone (330) 876-1228

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1720012958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8507 MAIN ST",
            "city": "KINSMAN",
            "state": "OH",
            "postal_code": "444289333",
            "telephone_number": "330-876-1228",
            "fax_number": "330-876-1229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8507 MAIN ST",
            "city": "KINSMAN",
            "state": "OH",
            "postal_code": "444289333",
            "telephone_number": "330-876-1228",
            "fax_number": "330-876-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C & B MAIN DISCOUNT DRUG CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "TING",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-876-1228",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02369400",
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "OH",
            "license": "02369400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0529771",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN DISCOUNT DRUG",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kinsman, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.