Main Street Pharmacy Inc
NPI 1306505763 · Community/Retail Pharmacy · South Charleston, WV
Enrolled with Medicare as Part B Supplier - Mass Immunization (roster Biller Only) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Main Street Pharmacy Inc is a Community/Retail Pharmacy organization in South Charleston, WV (NPI 1306505763).
Provider details
- NPI number
- 1306505763
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Parent organization
- Main Street Pharmacy, Inc.
- Organization subpart
- Yes
- Authorized official
- Carol Jones, Manager(304) 465-7200
Specialties & taxonomies
Suppliers
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Clark'S Family Pharmacy Inc.
Registry dates
- Enumerated
- 2021-12-14
- Last updated
- 2021-12-14
- Certified
- 2021-12-10
Frequently asked questions
- What is Main Street Pharmacy Inc's NPI number?
- Main Street Pharmacy Inc's National Provider Identifier (NPI) is 1306505763, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Pharmacy Inc?
- Main Street Pharmacy Inc is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Main Street Pharmacy Inc located?
- Main Street Pharmacy Inc's practice location on file with NPPES is 4501 Maccorkle Ave Sw Ste 101, South Charleston, WV 25309-1444.
- What is Main Street Pharmacy Inc's phone number?
- The practice phone number listed in the NPPES registry for Main Street Pharmacy Inc is (304) 766-8484.
- Does Main Street Pharmacy Inc accept Medicare?
- Main Street Pharmacy Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Main Street Pharmacy Inc?
- The authorized official listed on Main Street Pharmacy Inc's NPPES record is Carol Jones, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Pharmacy Inc's NPI active?
- Yes — Main Street Pharmacy Inc's NPI (1306505763) is active in the NPPES registry as of the last update on 2021-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.