MAIN STREET PHARMACY
NPI 1689700379
Pharmacy - Community/Retail Pharmacy in East Prairie, MO

NPI Status: Active since February 26, 2007

Contact Information

117 E MAIN ST
EAST PRAIRIE, MO
ZIP 63845
Phone: (573) 649-9229
Fax: (573) 649-9230

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  • Organization
  • Pharmacy
  • Community/Retail Pharmacy
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About MAIN STREET PHARMACY

This page provides the complete NPI Profile along with additional information for Main Street Pharmacy, a provider established in East Prairie, Missouri operating as a Pharmacy, focusing in community/retail pharmacy . The healthcare provider is registered in the NPI registry with number 1689700379 assigned on February 2007. The practitioner's primary taxonomy code is 3336C0003X with license number 2013000674 (MO). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Main Street Pharmacy. The authorized official of this NPI record is Tera Johnson (Manager)

NPI
1689700379
Provider Legal Name
MAIN STREET PHARMACY LLC
Other Organization Name
MAIN STREET PHARMACY
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
117 E MAIN ST EAST PRAIRIE, MO 63845
Location Phone
(573) 649-9229
Location Fax
(573) 649-9230
Mailing Address
117 E MAIN ST EAST PRAIRIE, MO 63845
Mailing Phone
(573) 649-9229
Mailing Fax
(573) 649-9230
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-26-2007
Last Update Date
02-09-2015
Code Navigator



Main Street Pharmacy is a medicare supplier with PTAN 20405831 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Epoetin or Immunosuppressive Drugs or Infusion Drugs or Nebulizer Drugs or Oral Anticancer Drugs or Oral Antiemetic Drugs.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pharmacy Community/Retail Pharmacy

Taxonomy Code
3336C0003X
Type
Suppliers
License No.
2013000674
License State
MO
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

TERA JOHNSON

Authorized Official Title
MANAGER
Authorized Official Phone
(573) 649-9229

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2048743OTHER (01)PK
6821510001MEDICARE NSC (07)MO 
605420405MEDICAID (05)MO 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20405831
Accepts Medicare Assignment
YES
Specialities List
Pharmacy.
Competitive Bidding
NO

Supplies List

  • Epoetin - Epoetin is a man-made version of human erythropoietin (EPO)
  • Immunosuppressive Drugs - Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
  • Infusion Drugs -
  • Nebulizer Drugs - Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
  • Oral Anticancer Drugs - FDA anticancer drugs
  • Oral Antiemetic Drugs - FDA antiemetic drugs

Reviews for MAIN STREET PHARMACY

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689700379, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
0
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 0 → 0 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 4 + 0 + 0 + 3 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1689700379.

Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Durable Medical Equipment & Medical Supplies
117 E MAIN ST
EAST PRAIRIE, MO 63845
Pharmacist
117 E MAIN ST
EAST PRAIRIE, MO 63845
Pharmacy (Community/Retail Pharmacy)
117 E MAIN ST
EAST PRAIRIE, MO 63845
Pharmacy (Long Term Care Pharmacy)
117 E MAIN ST
EAST PRAIRIE, MO 63845

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689700379, enumerated as an "organization" on February 26, 2007.

The provider is located at 117 E MAIN ST EAST PRAIRIE, MO 63845 and the phone number is (573) 649-9229.

Pharmacy with taxonomy code 3336C0003X and a focus in Community/Retail Pharmacy.

The provider might be accepting Accepts: Medica, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.