Organization Active NPI

Marsh Drugs LLC

Doing business as Mainstreet Market Pharmacy

  • Community/Retail Pharmacy
  • Muncie, IN
National Provider Identifier
1942217963
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
60005591A Issued in IN
Legal business name
MARSH DRUGS LLC
Doing business as
Mainstreet Market Pharmacy
Practice address
3910 W Bethel Ave
Muncie, IN 47304-5440
Phone
(765) 741-1326
Fax
(765) 741-1329
NPI assigned
Aug 2, 2006
Last updated
Dec 23, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Authorized official

Name
James Carter, RPH
Title
Manager
Phone
(765) 741-1326

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 60005591A IN Primary

Addresses

Primary practice location

3910 W Bethel Ave
Muncie, IN 47304-5440

Mailing address

3910 W Bethel Ave
Muncie, IN 47304-5440
Phone (765) 741-1326

Other identifiers 2

IdentifierTypeStateIssuer
200836630AMedicaidIN
2024449OtherPK

Other names 1

  • MAINSTREET MARKET PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3910 W Bethel Ave
Muncie, IN 47304
Phone (765) 741-1326

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387756800000",
    "number": "1942217963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3910 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045440",
            "telephone_number": "765-741-1326",
            "fax_number": "765-741-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3910 W BETHEL AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473045440",
            "telephone_number": "765-741-1326",
            "fax_number": "765-741-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARSH DRUGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2013-12-23",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "765-741-1326",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "IN",
            "license": "60005591A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200836630A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2024449",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAINSTREET MARKET PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Muncie, IN

Sources for this page

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