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MAIN STREET PHARMACY
NPI 1609109842
Pharmacy - Community/Retail Pharmacy in Bridgeport, CT

Active since September 04, 2009
1005 MAIN ST # 1J, BRIDGEPORT, CT 06604(203) 870-9901(203) 870-9903 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Main Street Pharmacy NPPES

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

MAIN STREET PHARMACY (NPI 1609109842) is a healthcare organization registered as a community/retail pharmacy in Bridgeport, Connecticut and active in the NPI registry since September 2009. The organization lists Jean Jacob, Owner, as its authorized official.

NPPES Registry Identity

NPI1609109842
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMAIN STREET PHARMACY LLC
Location Address1005 MAIN ST # 1JBridgeport, CT 06604-4221
Mailing Address1005 Main St # 1jBridgeport, CT 06604-4221 · (203) 870-9901 · Fax (203) 870-9903
Phone(203) 870-9901
Fax(203) 870-9903
Organization SubpartNo
Authorized OfficialJean JacobOwner · (914) 843-1881
Enumeration DateSeptember 4, 2009
Last NPPES UpdateNovember 12, 2010
✔ NPI 1609109842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in CT · PCY0002147
Definition
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
1005 MAIN ST # 1J, Bridgeport, CT 06604
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Other Names 1

Doing Business AsMain Street Pharmacy

Other Identifiers 2

Other0721577Ncpdp Provider Identification Number
Medicare NSC6441180001CT

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 1609109842. It was assigned to this organization in the NPPES registry on September 4, 2009. The provider is doing business as Main Street Pharmacy.

Where is Main Street Pharmacy LLC located?

Main Street Pharmacy LLC is located at 1005 Main St # 1J, Bridgeport, CT 06604. The listed phone number is (203) 870-9901.

What is Main Street Pharmacy LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Main Street Pharmacy LLC was last updated on November 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.