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MAIN STREET PHARMACY LLC.
NPI 1316928989
Durable Medical Equipment & Medical Supplies in East Prairie, MO

Active since November 09, 2005
117 E MAIN ST, EAST PRAIRIE, MO 63845(573) 649-9229(573) 649-9230 Get Directions Write a Review

NPPES record last updated: January 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Main Street Pharmacy Llc. NPPES

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

MAIN STREET PHARMACY LLC. (NPI 1316928989) is a healthcare organization registered as a durable medical equipment & medical supplies in East Prairie, Missouri and active in the NPI registry since November 2005. The organization lists Tera S Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1316928989
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameMAIN STREET PHARMACY LLC.
Location Address117 E MAIN STEast Prairie, MO 63845-1136
Mailing Address117 E Main StEast Prairie, MO 63845-1136 · (573) 649-9229 · Fax (573) 649-9230
Phone(573) 649-9229
Fax(573) 649-9230
Organization SubpartNo
Authorized OfficialTera S JohnsonManager · (573) 649-9229
Enumeration DateNovember 9, 2005
Last NPPES UpdateJanuary 2, 2013
✔ NPI 1316928989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
117 E MAIN ST, East Prairie, MO 63845
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Other Identifiers 2

Medicaid625420401MO
Medicare NSC4332600001MO

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.

MAIN STREET RX, LLC
Pharmacy (Long Term Care Pharmacy)
117 E MAIN ST
EAST PRAIRIE, MO 63845
Mississippi County (573) 649-9229
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
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 Pharmacy LLC.'s NPI number?

The NPI number for Main Street Pharmacy LLC. is 1316928989. It was assigned to this organization in the NPPES registry on November 9, 2005.

Where is Main Street Pharmacy LLC. located?

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

What is Main Street Pharmacy LLC.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Main Street Pharmacy LLC. was last updated on January 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.