Provider Demographics
NPI:1437136942
Name:JOYCE ARMES PHCY INC
Entity Type:Organization
Organization Name:JOYCE ARMES PHCY INC
Other - Org Name:MAIN STREET PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:NORTON
Authorized Official - Suffix:
Authorized Official - Credentials:PD
Authorized Official - Phone:812-254-5141
Mailing Address - Street 1:PO BOX 1750
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-0005
Mailing Address - Country:US
Mailing Address - Phone:812-254-5141
Mailing Address - Fax:812-254-5143
Practice Address - Street 1:217 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-2913
Practice Address - Country:US
Practice Address - Phone:812-254-5141
Practice Address - Fax:812-254-5143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
333600000X, 3336L0003X
IN600023773336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100294660AMedicaid
1508158OtherNCPDP PROVIDER IDENTIFICATION NUMBER
1508158OtherNCPDP PROVIDER IDENTIFICATION NUMBER