OrganizationActive
Main Street Drug & Boutique, Inc.
NPI 1073272852 · Community/Retail Pharmacy · Monticello, UT
Main Street Drug & Boutique, Inc. is a Community/Retail Pharmacy organization in Monticello, UT (NPI 1073272852).
Provider details
- NPI number
- 1073272852
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Tyler Gilson, President/Pharmacist(435) 650-2736
Specialties & taxonomies
Suppliers
- Compounding Pharmacy3336C0004X
Suppliers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
140 S Main St
Monticello, UT 84535-7728
Phone: (435) 587-2302
Fax: (435) 587-3441
Street-level locationGet directions
Mailing address
Po Box 519
Monticello, UT 84535-0519
Registry dates
- Enumerated
- 2021-12-09
- Last updated
- 2021-12-09
- Certified
- 2021-12-02
Frequently asked questions
- What is Main Street Drug & Boutique, Inc.'s NPI number?
- Main Street Drug & Boutique, Inc.'s National Provider Identifier (NPI) is 1073272852, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Drug & Boutique, Inc.?
- Main Street Drug & Boutique, Inc. is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Main Street Drug & Boutique, Inc. located?
- Main Street Drug & Boutique, Inc.'s practice location on file with NPPES is 140 S Main St, Monticello, UT 84535-7728.
- What is Main Street Drug & Boutique, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Main Street Drug & Boutique, Inc. is (435) 587-2302.
- Who is the authorized official for Main Street Drug & Boutique, Inc.?
- The authorized official listed on Main Street Drug & Boutique, Inc.'s NPPES record is Tyler Gilson, President/Pharmacist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Drug & Boutique, Inc.'s NPI active?
- Yes — Main Street Drug & Boutique, Inc.'s NPI (1073272852) is active in the NPPES registry as of the last update on 2021-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.