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MAIN STREET RX, LLC
NPI 1164284634
Pharmacy - Long Term Care Pharmacy in East Prairie, MO

Active since January 29, 2024CLIA 26D2205845 · Waiver
117 E MAIN ST, EAST PRAIRIE, MO 63845(573) 649-9229 Get Directions Write a Review

NPPES record last updated: January 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Main Street Rx, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAIN STREET RX, LLC (NPI 1164284634), doing business as Main Street Pharmacy Ltc, is a healthcare organization registered as a long term care pharmacy in East Prairie, Missouri and active in the NPI registry since January 2024. The organization holds a CLIA Waiver certificate valid through December 15, 2026 and lists Bryan Hubbard, Owner, as its authorized official.

NPPES Registry Identity

NPI1164284634
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMAIN STREET RX, LLC
Location Address117 E MAIN STEast Prairie, MO 63845-1136
Mailing Address117 E Main StEast Prairie, MO 63845-1136 · (573) 649-9229
Phone(573) 649-9229
Organization SubpartNo
Authorized OfficialBryan HubbardOwner · (573) 649-9229
Enumeration DateJanuary 29, 2024
NPPES CertifiedJanuary 29, 2024
✔ NPI 1164284634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
117 E MAIN ST, East Prairie, MO 63845
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Other Names 1

Doing Business AsMain Street Pharmacy Ltc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 26D2205845

Main Street Pharmacy · East Prairie, MO
Active · expires Dec 15, 2026
CLIA Number26D2205845
Laboratory TypePharmacy
Certificate Effective DateDecember 16, 2024
Certificate Expiration DateDecember 15, 2026
Laboratory DirectorBryan L. Hubbard
Laboratory Phone(573) 649-9229
Laboratory LocationMain Street Pharmacy117 E Main, East Prairie, MO 63845
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRYAN HUBBARD PHARMD.
Pharmacist
117 E MAIN ST
EAST PRAIRIE, MO 63845
Mississippi County (573) 649-9229
MAIN STREET RX
Pharmacy (Community/Retail Pharmacy)
117 E MAIN ST
EAST PRAIRIE, MO 63845
Mississippi County (573) 649-9229
MAIN STREET PHARMACY LLC.
Durable Medical Equipment & Medical Supplies
117 E MAIN ST
EAST PRAIRIE, MO 63845
Mississippi County (573) 649-9229
MAIN STREET PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
117 E MAIN ST
EAST PRAIRIE, MO 63845
Mississippi County (573) 649-9229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Main Street Rx, LLC's NPI number?

The NPI number for Main Street Rx, LLC is 1164284634. It was assigned to this organization in the NPPES registry on January 29, 2024. The provider is doing business as Main Street Pharmacy LTC.

Where is Main Street Rx, LLC located?

Main Street Rx, LLC is located at 117 E Main St, East Prairie, MO 63845. The listed phone number is (573) 649-9229.

What is Main Street Rx, LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

Does Main Street Rx, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2205845) is associated with this NPI, valid through December 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Main Street Rx, LLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Main Street Rx, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Main Street Rx, LLC was last updated on January 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.