Main Sail Enterprises South LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MAIN SAIL ENTERPRISES SOUTH LLC

Practice address

222 E Primrose St Ste B
Springfield, MO 65807-5233

Phone

(417) 351-3774

Fax

(417) 865-1533

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Charles David Kerr, RPH

Title

Owner

Phone

(417) 351-3774

Specialties & licenses 1

Addresses

Other names 1

• DOWNTOWN PHARMACY-SOUTH Doing business as

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1962852012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 S CAMPBELL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658062901",
            "telephone_number": "417-351-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E PRIMROSE ST STE B",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075233",
            "telephone_number": "417-351-3774",
            "fax_number": "417-865-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN SAIL ENTERPRISES SOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "KERR",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-351-3774",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DOWNTOWN PHARMACY-SOUTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indrajeet Mahata, M.D
• Erica Lynn Mahn, PHARMD
• Robert F. Mahnken, MD
• Lauren Maib, BCBA
• Joseph L Mailloux, M.D.
• Main Sail Enterprises-Downtown LLC
• Katelynn Main, DO
• Keith Edwin Mainprize, D.C.
• Taylor Majors, RN
• Vyacheslav I Makler, D.O.

• Community/Retail Pharmacy in Springfield, MO
• Providers in Springfield, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.