Healthcare Provider Details

I. General information

NPI: 1215863709
Provider Name (Legal Business Name): EAST MAIN PHARMACY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 E MAIN ST
FALL RIVER MA
02724-3232
US

IV. Provider business mailing address

246 E MAIN ST
FALL RIVER MA
02724-3232
US

V. Phone/Fax

Practice location:
  • Phone: 508-679-1300
  • Fax: 774-322-1335
Mailing address:
  • Phone: 508-679-1300
  • Fax: 774-322-1335

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: BRIAN C MENESES
Title or Position: OWNER
Credential: PHARM D
Phone: 508-679-1300