Organization
MAIN STREET PHARMACY LLC
Active
Other names
MAIN STREET PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC GIBBS (OWNER)
(606) 258-0000
Entity
Organization
Contact information
Practice address
150 MAIN STREET PHARMACY, MT VERNON, KY 40456
(606) 256-0475
(606) 256-0421
Mailing address
150 MAIN STREET PHARMACY, MT VERNON, KY 40456
(606) 256-0475
(606) 256-0421
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
P07220
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1830416
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
7100014800
—
KY
05
—
7100037810
—
KY
Enumeration date
11/13/2007
Last updated
08/25/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us