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MAIN STREET PHARMACY
NPI 1780182766
Pharmacy - Long Term Care Pharmacy in Bridgeport, CT

Active since January 25, 2018
2117 BOSTON AVE, BRIDGEPORT, CT 06610(203) 212-3800(203) 212-3802 Get Directions Write a Review

NPPES record last updated: January 25, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Main Street Pharmacy NPPES

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

MAIN STREET PHARMACY (NPI 1780182766) is a healthcare organization registered as a long term care pharmacy in Bridgeport, Connecticut and active in the NPI registry since January 2018. The organization lists Jean Jacob, Member, as its authorized official.

NPPES Registry Identity

NPI1780182766
Entity TypeOrganization
Primary Taxonomy3336L0003X
Legal Business NameMAIN STREET PHARMACY 3 LLC
Location Address2117 BOSTON AVEBridgeport, CT 06610-3030
Mailing Address2117 Boston AveBridgeport, CT 06610-3030 · (203) 212-3800 · Fax (203) 212-3802
Phone(203) 212-3800
Fax(203) 212-3802
Organization SubpartNo
Authorized OfficialJean JacobMember · (203) 212-3800
Enumeration DateJanuary 25, 2018
✔ NPI 1780182766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Long Term Care PharmacySuppliers
Taxonomy Code3336L0003X
License✔ Licensed in CT · PCY2190
Definition
A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements.
Also ListedPharmacyTaxonomy 333600000X
2117 BOSTON AVE, Bridgeport, CT 06610
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Other Names 1

Doing Business AsMain Street Pharmacy

Other Identifiers 2

Medicaid008032995CT
Other2170877Pk

Accepted Insurance

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

Other Providers at the Same Location NPPES 6

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

MAIN STREET PHARMACY 3 LLC
Pharmacy
2117 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 212-3800
DR. MELISSA BOUDREAU
Pharmacist
2117 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 212-3800
NEHAH LLC
Homemaker
2117 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 590-1947
DR. JEAN K JACOB PHARM.D.
Pharmacist
2117 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 493-4251
DR. OLUSEGUN JOSHUA AWODELE PHARM. D
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
2117 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 212-3800
DR. ZENUB PARUPIA PHARM. D.
Pharmacist
2117 BOSTON AVE
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 212-3800

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 3 LLC's NPI number?

The NPI number for Main Street Pharmacy 3 LLC is 1780182766. It was assigned to this organization in the NPPES registry on January 25, 2018. The provider is doing business as Main Street Pharmacy.

Where is Main Street Pharmacy 3 LLC located?

Main Street Pharmacy 3 LLC is located at 2117 Boston Ave, Bridgeport, CT 06610. The listed phone number is (203) 212-3800.

What is Main Street Pharmacy 3 LLC's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Long Term Care Pharmacy, with taxonomy code 3336L0003X.

What insurance does Main Street Pharmacy 3 LLC accept?

Health plans from SummaCare list Main Street Pharmacy 3 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 3 LLC was last updated on January 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.