Main Street Pharmacy 3 Llc is an authorized DME supplier for medicare equipments and products.
Main Street Pharmacy 3 Llc is a Pharmacy in Bridgeport, Connecticut. It is located at 2117 Boston Ave, Bridgeport and it's customer support contact number is 203-212-3800. The authorized person of Main Street Pharmacy 3 Llc is Dr. Jean K. Jacob, PHARM. D who is Owner of the pharmacy and his contact number is 203-212-38001. Active license number of Main Street Pharmacy 3 Llc is PCY2190 for Pharmacy in Connecticut. Main Street Pharmacy 3 Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance. Main Street Pharmacy 3 Llc is a facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.
Pharmacy Details:
Main Street Pharmacy 3 Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
Name:
Main Street Pharmacy 3 Llc
Type:
Pharmacy
Location:
2117 Boston Ave, Bridgeport, Connecticut, 06610-3030
Phone:
203-212-3800
Fax:
203-212-3802
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
Name:
Dr. Jean K. Jacob
Credentials:
PHARM. D
Position:
Owner
Contact Number:
203-212-38001
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
NPI Number:
1316249352
NPI Enumeration Date:
24 Nov, 2010
NPI Last Update On:
09 Mar, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Main Street Pharmacy 3 Llc are as mentioned below.
Specialization
License Number
State
Status
Pharmacy
PCY2190
Connecticut
Primary
Durable Medical Equipment & Medical Supplies
Secondary
Parenteral & Enteral Nutrition
Connecticut
Secondary
Community/Retail Pharmacy
Secondary
Compounding Pharmacy
Secondary
Specialty Pharmacy
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
008032995
Medicaid
Connecticut
Medicare Enrollment:
Main Street Pharmacy 3 Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
PAC ID:
Enrollment ID:
Org Name
Medicare Entity Type
0547585184
O20150203000012
Main Street Pharmacy 3 Llc
PART B SUPPLIER - MASS IMMUNIZATION (ROSTER BILLER ONLY)
0547585184
O20150227000867
Main Street Pharmacy 3 Llc
DME SUPPLIER - PHARMACY
Products Available:
Main Street Pharmacy 3 Llc has following products available for sale under medicare.
Products
Blood Glucose Monitors & Supplies: Non-mail Order
Canes & Crutches
Commodes, Urinals, & Bedpans
Enteral Nutrients
Heat & Cold Applications
Nebulizer Equipment & Supplies
Orthoses: Off-the-shelf
Ostomy Supplies
Seat Lift Mechanisms
Surgical Dressings
Tracheostomy Supplies
Urological Supplies
Walkers
Wheelchair Seating/cushions
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2117 Boston Ave, Bridgeport, Connecticut
Zip:
06610-3030
Phone Number:
203-212-3800
Fax Number:
203-212-3802
Patients can reach Main Street Pharmacy 3 Llc at 2117 Boston Ave, Bridgeport, Connecticut or can call on customer care at 203-212-3800.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.