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MAIN STREET PHARMACY 4 LLC NPI 1689989782


NPI Information

NPI: 1689989782
Provider Name: MAIN STREET PHARMACY 4 LLC

Doing Business As: MAIN STREET PHARMACY

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
166 W BROAD ST
STAMFORD, CT
ZIP 06902
Phone: (203) 870-9902
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MAIN STREET PHARMACY 4 LLC is a community/retail pharmacy pharmacy in Stamford, CT. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. MAIN STREET PHARMACY 4 LLC NPI is 1689989782. The provider is registered as an organization entity type.
The provider Is Doing Business As Main Street Pharmacy.

The provider's business location address is:

166 W BROAD ST
STAMFORD, CT
ZIP 06902-661
Phone: (203) 870-9902
Fax: (203) 870-9903

The provider's authorized official is Jean Jacob .
The authorized official title is Owner and has the following contact phone number (203) 870-9902.

The enumeration date for this NPI number is 8/12/2010 and was last updated on 8/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2333600000XPharmacyNo
33336C0004XPharmacyCompounding PharmacyNo
43336S0011XPharmacySpecialty PharmacyNo
53336C0003XPharmacyCommunity/Retail PharmacyPCY.0002185CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10722062OTHERNCPDP PROVIDER IDENTIFICATION NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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