OrganizationActive
Main Street Pharmacy, L.L.C.
NPI 1073159885 · Pharmacy · Ashburn, VA
Provider details
- NPI number
- 1073159885
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Susan Colbert, Sr Director Payer Relations(401) 770-2751
Specialties & taxonomies
Suppliers
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21170 Ashby Ponds Blvd Ste 101
Ashburn, VA 20147-6128
Phone: (401) 765-1500
Fax: (401) 770-7108
Street-level locationGet directions
Mailing address
1 Cvs Dr
Woonsocket, RI 02895-6146
Other names (DBA / former)
- Doing business as
- Cvs Pharmacy # 48570
- Doing business as
- Cvs Pharmacy # 48570
Registry dates
- Enumerated
- 2019-11-27
- Last updated
- 2020-10-14
- Certified
- 2020-10-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.