Active NPI
Marsh Drugs LLC
Doing business as Mainstreet Market Pharmacy
- Community/Retail Pharmacy
- Muncie, IN
National Provider Identifier
1942217963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 60005591A
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200836630A | Medicaid | IN | |
| 2024449 | Other | PK |
Other names 1
- MAINSTREET MARKET PHARMACY
National Provider Directory
National Provider DirectoryLocations
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.