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Main Street Pharmacy 3 LLC

Q: What type of organization is Main Street Pharmacy 3 LLC?

Main Street Pharmacy 3 LLC is registered in NPPES as a Pharmacy (its primary provider taxonomy).

Pharmacy in Bridgeport, CT · enumerated 2010 · authorized official Jean Jacob, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1316249352

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Registry record

Entity type Organization (Type 2)

Legal business name Main Street Pharmacy 3 LLC

Practice address 2117 Boston Ave, Bridgeport, CT, 06610

Phone (203) 212-3800

Fax (203) 212-3802

Enumeration date Nov 24, 2010

Last updated in NPPES Mar 9, 2015

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

332BP3500X Parenteral & Enteral Nutrition Supplies (DME) Suppliers Secondary

333600000X Pharmacy Suppliers · License PCY2190 (CT) Primary

3336C0003X Community/Retail Pharmacy Suppliers Secondary

3336C0004X Compounding Pharmacy Suppliers Secondary

3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Jean Jacob

Title Owner

Phone 20321238001

Other identifiers

Identifier	Type	State	Issuer
008032995	Medicaid	CT	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Main Street Pharmacy 3 LLC?

Main Street Pharmacy 3 LLC is registered in NPPES as a Pharmacy (its primary provider taxonomy).

Providers at this address

Browse all →

Jean Jacob Pharmacist · Bridgeport, CT NPI 1417280652 Olusegun Awodele Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Bridgeport, CT NPI 1811279755 Melissa Boudreau Pharmacist · Bridgeport, CT NPI 1407394950 Main Street Pharmacy 3 LLC Long Term Care Pharmacy · Bridgeport, CT NPI 1780182766 Zenub Parupia Pharmacist · Bridgeport, CT NPI 1891457370 Nehah LLC Homemaker · Bridgeport, CT NPI 1407631500

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-03-09.