Main Street Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

034514 Issued in NY

Legal business name

MAIN STREET PHARMACY INC

Doing business as

Main Street Pharmacy

Practice address

761 Main St
New Rochelle, NY 10805-1511

Phone

(914) 235-1000

Fax

(914) 235-1001

NPI assigned

May 18, 2016

Organization subpart

No

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

Authorized official

Name

Talha Azeem

Title

President

Phone

(914) 235-1000

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Main Street Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in NY2 enrollments

Enrollment records 2

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

Locations

Practitioners 1

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

• Aymen Hisham Jaber, PHARMD

  • Pharmacist
  • Brooklyn, NY
  • NPI 1255600466
  NPD

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1932556032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108051511",
            "telephone_number": "914-235-1000",
            "fax_number": "914-235-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MAIN ST",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108051511",
            "telephone_number": "914-235-1000",
            "fax_number": "914-235-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "AZEEM",
        "authorized_official_first_name": "TALHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-235-1000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NY",
            "license": "034514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2160219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Main Street Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Maher, MD
• Oumie Mahmud
• Main Chiropractic & Rehabilitation Center
• Main Chiropractic Rehabilitation & NP-Family Health of Westchester PL
• Main Street Apothecary & Surgical Supplies Inc (ALMARC DRUGS of NEW ROCHELLE)
• Judith M. Makman, MS/SLP
• Marianne Wertheim Makman, M.D.
• Nicole Marie Mako, CASAC-T
• Getrude Yolanda Makurumidze, MD
• Mala Murthy Balakumar MD PC

• Community/Retail Pharmacy in New Rochelle, NY
• Providers in New Rochelle, NY by specialty
• Community/Retail Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.