Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Main Street Pharmacy LLC

Organization Community/Retail Pharmacy · NPI 1689700379

Main Street Pharmacy LLC is a Community/Retail Pharmacy in East Prairie, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

117 E Main St
East Prairie, MO 63845-1136
Phone: (573) 649-9229
Fax: (573) 649-9230
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community/Retail Pharmacy (primary) Taxonomy 3336C0003X · Licence 2013000674 (MO)

Record details

NPI number1689700379
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tera Johnson — Manager · (573) 649-9229
Other names Main Street Pharmacy
NPI enumeratedFebruary 26, 2007
Last updated in NPPESFebruary 9, 2015
Mailing address117 E Main St, East Prairie, MO 63845-1136

Other providers in East Prairie