NPIMap

Organization Active NPI

Belfy Drug Store Inc

Doing business as Main Street Pharmacy and Gifts

  • Community/Retail Pharmacy
  • Watervliet, MI
National Provider Identifier
1821045964
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
5301007951 Issued in MI
Legal business name
BELFY DRUG STORE INC
Doing business as
Main Street Pharmacy and Gifts
Practice address
387 N Main St
Watervliet, MI 49098-9795
Phone
(269) 463-3164
Fax
(269) 639-2524
NPI assigned
May 27, 2006
Last updated
Jun 23, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Authorized official

Name
Kelly Soekarmoen, RPHNPI 1598990525
Title
Owner
Phone
(269) 649-1476

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 5301007951 MI Primary

Addresses

Primary practice location

387 N Main St
Watervliet, MI 49098-9795

Mailing address

PO Box 97
Watervliet, MI 49098-0097
Phone (269) 637-1161

Other names 1

  • MAIN STREET PHARMACY AND GIFTS Doing business as

National Provider Directory

National Provider Directory

Locations

387 N Main St
Watervliet, MI 49098
Phone (269) 463-3164

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245715200000",
    "number": "1821045964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 97",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490980097",
            "telephone_number": "269-637-1161",
            "fax_number": "269-639-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 N MAIN ST",
            "city": "WATERVLIET",
            "state": "MI",
            "postal_code": "490989795",
            "telephone_number": "269-463-3164",
            "fax_number": "269-639-2524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELFY DRUG STORE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2009-06-23",
        "status": "A",
        "authorized_official_last_name": "SOEKARMOEN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "269-649-1476",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MI",
            "license": "5301007951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN STREET PHARMACY AND GIFTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Watervliet, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2009; 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.