Active NPI
Main Street RX, LLC
Doing business as Main Street Pharmacy LTC
- Long Term Care Pharmacy
- East Prairie, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MAIN STREET RX, LLC
- Doing business as
- Main Street Pharmacy LTC
- Practice address
- 117 E Main St
East Prairie, MO 63845-1136 - Phone
- (573) 649-9229
- NPI assigned
- Jan 29, 2024
- Last updated
- Jan 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bryan Hubbard
- Title
- Owner
- Phone
- (573) 649-9229
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
117 E Main St
East Prairie, MO 63845-1136
Mailing address
117 E Main St
East Prairie, MO 63845-1136
Phone (573) 649-9229
Other names 1
- Main Street Pharmacy LTC
National Provider Directory
National Provider Directory- Tax ID family
- Main Street Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Locations
117 E Main St
East Prairie, MO 63845
Phone (573) 649-9229
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pharmacist
- East Prairie, MO
- NPI 1285262519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1706486400000",
"number": "1164284634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 E MAIN ST",
"city": "EAST PRAIRIE",
"state": "MO",
"postal_code": "638451136",
"telephone_number": "573-649-9229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 E MAIN ST",
"city": "EAST PRAIRIE",
"state": "MO",
"postal_code": "638451136",
"telephone_number": "573-649-9229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAIN STREET RX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-29",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A",
"authorized_official_last_name": "HUBBARD",
"authorized_official_first_name": "BRYAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "573-649-9229"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Main Street Pharmacy LTC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in East Prairie, MO
- Patricia Hogan, RPH
- Bryan Hubbard, PHARMD.
- Main Street Pharmacy LLC (Main Street Pharmacy)
- Main Street Pharmacy LLC.
- Main Street RX (Main Street Pharmacy)
- Susan Myrick Marshall, PHARMD
- Teresa Leann Morris, LCSW
- N & R of East Prairie, Inc. (East Prairie Nursing Center)
- Jennifer Samantha Presson
- Quality Care Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.