NPIMap

Organization Active NPI

Main Street Pharmacy

  • Community/Retail Pharmacy
  • Mount Hope, WV
National Provider Identifier
1942556527
Registry record updated Sep 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
SP0552434 Issued in WV
Legal business name
MAIN STREET PHARMACY
Doing business as
Mount Hope Pharmacy
Practice address
301 Main St
Mount Hope, WV 25880-1105
Phone
(304) 877-7923
Fax
(304) 877-7921
NPI assigned
Aug 1, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2014

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

Authorized official

Name
Jawed Sherwani
Title
Owner/ Pharmacist
Phone
(304) 465-7200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X SP0552434 WV Primary

Addresses

Primary practice location

301 Main St
Mount Hope, WV 25880-1105

Mailing address

301 Main St
Mount Hope, WV 25880-1105
Phone (304) 877-7923

Other identifiers 1

IdentifierTypeStateIssuer
5055694OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Mount Hope Pharmacy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Main Street Pharmacy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 Main St
Mount Hope, WV 25880
Phone (304) 877-7923

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1942556527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "MOUNT HOPE",
            "state": "WV",
            "postal_code": "258801105",
            "telephone_number": "304-877-7923",
            "fax_number": "304-877-7921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MAIN ST",
            "city": "MOUNT HOPE",
            "state": "WV",
            "postal_code": "258801105",
            "telephone_number": "304-877-7923",
            "fax_number": "304-877-7921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "SHERWANI",
        "authorized_official_first_name": "JAWED",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST",
        "authorized_official_telephone_number": "304-465-7200"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "WV",
            "license": "SP0552434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5055694",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mount Hope Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Hope, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; 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.