Organization
MAIN STREET FAMILY PHARMACY LLC
Active
Other names
MAIN STREET FAMILY PHARMACY LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY NEWBAKER PHRMD (OWNER)
(731) 627-2221
Entity
Organization
Contact information
Practice address
126 E MAIN ST, NEWBERN, TN 38059-1527
(731) 627-2221
(731) 627-6152
Mailing address
126 E MAIN ST, NEWBERN, TN 38059-1527
(731) 627-2221
(731) 627-6152
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
3336C0003X
Community/Retail Pharmacy
Primary
0895
TN
3336C0004X
Compounding Pharmacy
—
—
3336H0001X
Home Infusion Therapy Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1454920
—
TN
01
—
4441313
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/13/2008
Last updated
02/03/2010
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