MAIN STREET PHARMACY - NPI 1407295330 - Pharmacist in Kennesaw, GA

Q: What is Main Street Pharmacy's NPI number?

The NPI number for Main Street Pharmacy is 1407295330. It was assigned to this organization in the NPPES registry on June 25, 2013.

Q: What is Main Street Pharmacy's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

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About Main Street Pharmacy NPPES

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

MAIN STREET PHARMACY (NPI 1407295330) is a healthcare organization registered as a pharmacist in Kennesaw, Georgia and active in the NPI registry since June 2013. The organization lists Tami Chamblee Oliver, Pharmacy Manager, as its authorized official.

NPPES Registry Identity

NPI1407295330

Entity TypeOrganization

Primary Taxonomy183500000X

Legal Business NameMAIN STREET PHARMACY

Location Address3070 N MAIN ST NWKennesaw, GA 30144-2756

Mailing Address3070 N Main St NwKennesaw, GA 30144-2756 · (678) 269-6476

Phone(678) 269-6476

Organization SubpartNo

Authorized OfficialTami Chamblee OliverPharmacy Manager · (678) 793-2525

Enumeration DateJune 25, 2013

✔ NPI 1407295330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers

Taxonomy Code183500000X

License✔ Licensed in GA · PHRE009935

Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

3070 N MAIN ST NW, Kennesaw, GA 30144

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

URBAN WELLNESS, LLC

Clinic/Center (Mental Health (Including Community Mental Health Center))