Main Street Pharmacy of Brownsville LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

5116 Issued in TN

Legal business name

MAIN STREET PHARMACY OF BROWNSVILLE LLC

Practice address

200 E Main St
Brownsville, TN 38012-2147

Phone

(731) 585-0500

Fax

(731) 585-0506

NPI assigned

Nov 15, 2012

Organization subpart

No

Name

Allen Primrose, RPH

Title

Owner/Pharmasict in Charge

Phone

(731) 772-6246

• Main Street Pharmacy Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 20, 2017.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487548800000",
    "number": "1821332750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380122147",
            "telephone_number": "731-585-0500",
            "fax_number": "731-585-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E MAIN ST",
            "city": "BROWNSVILLE",
            "state": "TN",
            "postal_code": "380122147",
            "telephone_number": "731-585-0500",
            "fax_number": "731-585-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY OF BROWNSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2017-02-20",
        "status": "A",
        "authorized_official_last_name": "PRIMROSE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER/PHARMASICT IN CHARGE",
        "authorized_official_telephone_number": "731-772-6246",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TN",
            "license": "5116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2137828",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Brownsville, TN
• Community/Retail Pharmacy in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2017; 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.