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MAIN STREET DRUG & BOUTIQUE
NPI 1215144308
Pharmacy - Community/Retail Pharmacy in Monticello, UT

Active since May 17, 2007
140 S MAIN ST, MONTICELLO, UT 84535(435) 587-2302(435) 587-3441 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 13, 2022, Dec 6, 2020, Nov 18, 2020 and 1 more (4 updates tracked since 2016).

About Main Street Drug & Boutique NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET DRUG & BOUTIQUE (NPI 1215144308) is a healthcare organization registered as a community/retail pharmacy in Monticello, Utah and active in the NPI registry since May 2007. The organization lists Tim Young, Owner, as its authorized official.

NPPES Registry Identity

NPI1215144308
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameSAN JUAN PHARMACY MONTICELLO INC.
Location Address140 S MAIN STMonticello, UT 84535
Mailing AddressPo Box 519Monticello, UT 84535-0519 · (435) 587-2302 · Fax (435) 587-3441
Phone(435) 587-2302
Fax(435) 587-3441
Organization SubpartNo
Authorized OfficialTim YoungOwner · (435) 587-2302
Enumeration DateMay 17, 2007
Last NPPES UpdateApril 13, 20224 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1215144308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in UT · 127088-1703
Definition
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.
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
140 S MAIN ST, Monticello, UT 84535
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Other Names 1

Doing Business AsMain Street Drug & Boutique

Other Identifiers 3

Medicaid876000616040UT
Medicaid88084876CO
Other2107592Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TIMOTHY ROBERT YOUNG PHARMD
Pharmacist
140 S MAIN ST
MONTICELLO, UT 84535
San Juan County (435) 587-2302
MAIN STREET DRUG & BOUTIQUE, INC.
Pharmacy (Community/Retail Pharmacy)
140 S MAIN ST
MONTICELLO, UT 84535
San Juan County (435) 587-2302
MAIN STREET PHARMACARE LLC
Pharmacy (Community/Retail Pharmacy)
140 S MAIN ST
MONTICELLO, UT 84535
San Juan County (435) 587-2302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Juan Pharmacy Monticello Inc.'s NPI number?

The NPI number for San Juan Pharmacy Monticello Inc. is 1215144308. It was assigned to this organization in the NPPES registry on May 17, 2007. The provider is doing business as Main Street Drug & Boutique.

Where is San Juan Pharmacy Monticello Inc. located?

San Juan Pharmacy Monticello Inc. is located at 140 S Main St, Monticello, UT 84535. The listed phone number is (435) 587-2302.

What is San Juan Pharmacy Monticello Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does San Juan Pharmacy Monticello Inc. accept?

Health plans from Medica and Moda Health Plan, Inc. list San Juan Pharmacy Monticello Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for San Juan Pharmacy Monticello Inc. was last updated on April 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.