OrganizationActive
Main Street Pharmacy Incorporated
NPI 1154055341 · Long Term Care Pharmacy · Corona, CA
Provider details
- NPI number
- 1154055341
- Entity type
- Organization
- Primary specialty
- Long Term Care PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Amelia Grace Padilla, Pharmacist in Charge(951) 279-3125
Specialties & taxonomies
Suppliers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
823 S Main St Ste 102
Corona, CA 92882-3409
Phone: (951) 279-3125
Fax: (951) 279-3127
Street-level locationGet directions
Mailing address
823 S Main St Ste 102
Corona, CA 92882-3409
Registry dates
- Enumerated
- 2022-07-13
- Last updated
- 2022-07-13
- Certified
- 2022-07-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.