OrganizationActive
Main Street Pharmacy LLC.
NPI 1316928989 · Durable Medical Equipment & Medical Supplies · East Prairie, MO
Provider details
- NPI number
- 1316928989
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Tera Johnson, Manager(573) 649-9229
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
117 E Main St
East Prairie, MO 63845-1136
Phone: (573) 649-9229
Fax: (573) 649-9230
Street-level locationGet directions
Mailing address
117 E Main St
East Prairie, MO 63845-1136
Registry dates
- Enumerated
- 2005-11-09
- Last updated
- 2013-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.