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

Active since February 26, 2007
117 E MAIN ST, EAST PRAIRIE, MO 63845(573) 649-9229(573) 649-9230 Get Directions Write a Review

NPPES record last updated: February 9, 2015. 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 1689700379) is a healthcare organization registered as a community/retail pharmacy in East Prairie, Missouri and active in the NPI registry since February 2007. The organization lists Tera Johnson, Manager, as its authorized official.

NPPES Registry Identity

NPI1689700379
Entity TypeOrganization
Primary Taxonomy3336C0003X
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 JohnsonManager · (573) 649-9229
Enumeration DateFebruary 26, 2007
Last NPPES UpdateFebruary 9, 2015
✔ NPI 1689700379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MO · 2013000674
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.
117 E MAIN ST, East Prairie, MO 63845
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Other Names 1

Doing Business AsMain Street Pharmacy

Other Identifiers 3

Other2048743Pk
Medicare NSC6821510001MO
Medicaid605420405MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medical Equipment Supplier Medicare DMEPOS 6

Medicare supplier enrollment and the product categories Main Street Rx carries, from the Medicare DMEPOS supplier directory.

Main Street Rx

DMEPOS supplier · East Prairie, MO
✔

Accepts Medicare assignment

Main Street Rx agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20405831
Medicare Participant SinceMay 22, 2021
Supplier Location117 E Main StEast Prairie, MO 63845
Phone(573) 649-9229
Supplier Specialties
Pharmacy

Medicare Product Categories

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
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.
Durable Medical Equipment & Medical Supplies
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 1689700379. It was assigned to this organization in the NPPES registry on February 26, 2007. The provider is doing business as Main Street Pharmacy.

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 Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Main Street Pharmacy LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Main Street Rx accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Main Street Pharmacy LLC accept?

Health plans from Medica list Main Street Pharmacy 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 Pharmacy LLC was last updated on February 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.