Organization · Type 2 NPI

Main Street Pharmacy Incorporated

Community/Retail Pharmacy · Corona, CA

NPI number 1821042383 Active

Practice location

823 S Main St Ste 102
Corona, CA 92882-3409

Fax (951) 279-3127

Specialties and licenses

Taxonomy	Code	License
Community/Retail Pharmacy Primary	3336C0003X	PHY46586 (CA)

Community/Retail Pharmacy: 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 …

Another provider at this address

Main Street Pharmacy IncorporatedLong Term Care Pharmacy Corona, CA NPI 1154055341

Other community/retail pharmacy providers in Corona

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NPI record

NPI: 1821042383
Entity type: Organization (Type 2)
Issued: May 20, 2006
Last updated: Jul 1, 2022
Status: Active

Other names

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Main Street Pharmacy Inc · doing business as
Main Street Pharmacy Inc · doing business as

Authorized official

Amelia Grace Padilla, RPH
Owner,rph,ao
(951) 279-3125

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1821042383

Main Street Pharmacy Incorporated's National Provider Identifier is 1821042383, issued on May 20, 2006. The primary taxonomy on file is Community/Retail Pharmacy (3336C0003X), and the practice location is in Corona, CA. The record was last updated on Jul 1, 2022.