MAIN STREET PHARMACY LLC NPI 1669652210

NPI Information

  • NPI: 1669652210
  • Provider Name: MAIN STREET PHARMACY LLC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: MAIN STREET PHARMACY
  • Address: 150 MAIN STREET PHARMACY
    MT VERNON, KY
    ZIP 40456
  • Phone: (606) 256-0475

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NPI Details

MAIN STREET PHARMACY LLC is a community/retail pharmacy pharmacy in Mt Vernon, KY. 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 LLC NPI is 1669652210. 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:

150 MAIN STREET PHARMACY
MT VERNON, KY
ZIP 40456
Phone: (606) 256-0475
Fax: (606) 256-0421

The provider's authorized official is Eric Gibbs .
The authorized official title is Owner and has the following contact phone number (606) 258-0000.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 8/25/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
23336C0003XPharmacyCommunity/Retail PharmacyP07220KENTUCKYYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11830416OTHERNCPDP PROVIDER IDENTIFICATION NUMBER
27100037810MEDICAIDKENTUCKY
36068510001MEDICARE NSC
47100014800MEDICAIDKENTUCKY

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: 11/21/2025

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