East Main Pharmacy

LBN: Main St Chemists Inc
East Main Pharmacy is an health care organization with primary practice located at 2152 E Main St East Main Pharmacy, Waterbury CT 06705-2603. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Main St Chemists Inc can be contacted via phone (203) 755-7200, or through Damaraju, Srinivas via phone (203) 755-7200.

Contact Information

Primary practice address
2152 E Main St East Main Pharmacy Waterbury CT 06705-2603
Phone: (203) 755-7200
Fax: (203) 755-7100
Website:
Map and Directions
Authorized official contact:
Name: Damaraju, Srinivas RPH
Phone: (203) 755-7200

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1194888453
LBN Legal business name Main St Chemists Inc
DBA Doing business as East Main Pharmacy
Authorized official Damaraju, Srinivas RPH
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2006
Last updated May 8th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194888453 NPPES
Connecticut MEDICAID 004243664

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