MAIN STREET DRUG
NPI 1629007893
Pharmacy - Community/Retail Pharmacy in Wilburton, OK

Active since July 01, 2006CLIA 37D2225270 · Waiver
225 W MAIN ST, WILBURTON, OK 74578(918) 465-9300(918) 465-9303 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2021, Nov 4, 2016 (2 updates tracked since 2016).

About Main Street Drug NPPES

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

MAIN STREET DRUG (NPI 1629007893) is a healthcare organization registered as a community/retail pharmacy in Wilburton, Oklahoma and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through May 19, 2027 and lists Darren Tidwell, Owner, as its authorized official.

NPPES Registry Identity

NPI1629007893
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameVERITAS PROPERTIES LLC
Location Address225 W MAIN STWilburton, OK 74578-4045
Mailing Address225 W Main StWilburton, OK 74578-4045 · (918) 465-9300 · Fax (918) 465-9303
Fax(918) 465-9303
Organization SubpartNo
Authorized OfficialDarren TidwellOwner · (918) 465-9300
Enumeration DateJuly 1, 2006
Last NPPES UpdateMarch 5, 20212 updates tracked since enumeration
NPPES CertifiedMarch 5, 2021
NPI 1629007893 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 OK · 675089
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 ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Long Term Care PharmacyTaxonomy 3336L0003X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
225 W MAIN ST, Wilburton, OK 74578

Other Names 1

Doing Business AsMain Street Drug

Other Identifiers 3

Medicaid200081170AOK
Other2076464Pk
Medicaid200081170BOK

Accepted 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 37D2225270

Main Street Drug · Wilburton, OK
Active · expires May 19, 2027
CLIA Number37D2225270
Laboratory TypePharmacy
Certificate Effective DateMay 20, 2025
Certificate Expiration DateMay 19, 2027
Laboratory DirectorDarren Tidwell
Laboratory Phone(918) 465-9300
Laboratory LocationMain Street Drug225 W Main St, Wilburton, OK 74578
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
77 services77 patients

Other Providers at the Same Location NPPES

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

Pharmacist
225 W MAIN ST
WILBURTON, OK 74578

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 Veritas Properties LLC's NPI number?

The NPI number for Veritas Properties LLC is 1629007893. It was assigned to this organization in the NPPES registry on July 1, 2006. The provider is doing business as Main Street Drug.

Where is Veritas Properties LLC located?

Veritas Properties LLC is located at 225 W Main St, Wilburton, OK 74578. The listed phone number is (918) 465-9300.

What is Veritas Properties LLC's specialty?

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

Does Veritas Properties LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2225270) is associated with this NPI, valid through May 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Veritas Properties 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 51 other insurers list Veritas Properties 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 Veritas Properties LLC was last updated on March 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.