Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Main Street Pharmacy LLC

Community/Retail Pharmacy in Bridgeport, CT · enumerated 2009 · authorized official Jean Jacob, Owner.

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

National Provider Identifier

1609109842

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Main Street Pharmacy LLC

Other name <Unavail>

Practice address 1005 Main St # 1j, Bridgeport, CT, 06604

Phone (203) 870-9901

Fax (203) 870-9903

Enumeration date Sep 4, 2009

Last updated in NPPES Nov 12, 2010

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary

333600000X Pharmacy Suppliers Secondary

3336C0003X Community/Retail Pharmacy Suppliers · License PCY0002147 (CT) Primary

3336C0004X Compounding Pharmacy Suppliers Secondary

3336S0011X Specialty Pharmacy Suppliers Secondary

Authorized official

Name Jean Jacob

Title Owner

Phone (914) 843-1881

Other identifiers

Identifier	Type	State	Issuer
0721577	Other	-	NCPDP PROVIDER IDENTIFICATION NUMBER

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

Where is Main Street Pharmacy LLC located?

The practice location on file with NPPES is in Bridgeport, CT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2010-11-12. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-12.