Main Street Pharmacy 4 LLC
Pharmacy, Community/Retail Pharmacy in Stamford, Connecticut
1689989782- Practice location
- 166 W Broad St, Stamford, CT 06902-3661
- Phone
- 203-870-9902
- Fax
- 203-870-9903
- Last updated
- August 23, 2011
Main Street Pharmacy 4 LLC is a healthcare organization based in Stamford, CT. Main Street Pharmacy 4 LLC practices in Stamford, CT. The NPI Number for Main Street Pharmacy 4 LLC is 1689989782 and holds a License No. PCY.0002185 (CT). The current practice location address for Main Street Pharmacy 4 LLC is 166 W Broad St, Stamford, CT 06902-3661 and can be reached out via phone at 203-870-9902 and via fax at 203-870-9903.
Provider Profile Details
- NPI Number
- 1689989782
- Provider Name
- Main Street Pharmacy 4 LLC
- Provider Entity Type
- Organization
- Address
- 166 W Broad St, Stamford, CT 06902-3661
- Phone Number
- 203-870-9902
- Fax Number
- 203-870-9903
- Primary Taxonomy
- Pharmacy, Community/Retail Pharmacy · 3336C0003X
- Organization Subpart
- No
- Authorized Official
- Jean Jacob · Owner · 203-870-9902
- Other Names
- Main Street Pharmacy (Doing Business As)
- Provider Enumeration Date
- August 12, 2010
- Last Update Date
- August 23, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 166 W Broad St
Stamford, CT 06902-3661 - City
- Stamford
- State
- Connecticut
- Zip
- 06902-3661
- Phone Number
- 203-870-9902
- Fax Number
- 203-870-9903
Provider Business Mailing Address Details
- Address
- 166 W Broad St
Suite# G1
Stamford, CT 06902-3661 - City
- Stamford
- State
- CT
- Zip
- 06902-3661
- Phone Number
- 203-883-8700
- Fax Number
- 203-883-8702
License Information
- Taxonomy (1)
- Durable Medical Equipment & Medical Supplies · 332B00000X
- Taxonomy (2)
- Pharmacy · 333600000X
- Taxonomy (3)
- Pharmacy, Compounding Pharmacy · 3336C0004X
- Taxonomy (4)
- Pharmacy, Specialty Pharmacy · 3336S0011X
- License Number (5)
- PCY.0002185
- License State (5)
- CT
- Taxonomy (5)
- Pharmacy, Community/Retail Pharmacy · 3336C0003X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Main Street Pharmacy 4 LLC?
The NPI number of Main Street Pharmacy 4 LLC is 1689989782. It was assigned on August 12, 2010 and is currently active in the NPPES registry.
What is the specialty of Main Street Pharmacy 4 LLC?
Main Street Pharmacy 4 LLC is registered under the primary taxonomy Pharmacy, Community/Retail Pharmacy (code 3336C0003X), licensed in CT under license number PCY.0002185.
Where does Main Street Pharmacy 4 LLC practice?
The practice location is 166 W Broad St, Stamford, CT 06902-3661. The office can be reached at 203-870-9902 (phone) or 203-870-9903 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1689989782 directly on the NPPES registry website.