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Main Street Pharmacy LLC.

Durable Medical Equipment & Medical Supplies in East Prairie, MO · enumerated 2005 · authorized official Tera Johnson, Manager.

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

National Provider Identifier

1316928989

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Registry record

Entity type Organization (Type 2)
Legal business name Main Street Pharmacy LLC.
Practice address 117 E Main St, East Prairie, MO, 63845
Phone (573) 649-9229
Fax (573) 649-9230
Enumeration date Nov 9, 2005
Last updated in NPPES Jan 2, 2013

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Primary

Authorized official

Name Tera Johnson
Title Manager
Phone (573) 649-9229

Other identifiers

Identifier Type State Issuer
625420401 Medicaid MO -

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.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-01-02. Verify at npiregistry.cms.hhs.gov.
Where is Main Street Pharmacy LLC. located?
The practice location on file with NPPES is in East Prairie, MO.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-01-02.