Main Street Pharmacy, Llc
Pharmacy
14703 Eagle Vista Dr, Houston
Texas, 77077-5275
281-249-7290 Main Street Pharmacy, Llc is a Pharmacy in Houston, Texas. It is located at 14703 Eagle Vista Dr, Houston and it's customer support contact number is 281-249-7290. The authorized person of Main Street Pharmacy, Llc is Susan Colbert who is Sr. Director, Payer Relations of the pharmacy and his contact number is 401-770-2751. Main Street Pharmacy, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Main Street Pharmacy, 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, 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, Llc |
| Type: | Pharmacy |
| Location: | 14703 Eagle Vista Dr, Houston,
Texas, 77077-5275 |
| Phone: | 281-249-7290 |
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: | Susan Colbert |
| Position: | Sr. Director, Payer Relations |
| Contact Number: | 401-770-2751 |
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: | 1588845754 |
| NPI Enumeration Date: | 16 Nov, 2007 |
| NPI Last Update On: | 01 Aug, 2016 |
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, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Pharmacy | | | Primary | |
| Community/Retail Pharmacy | 26012 | Texas | Secondary | |
| Durable Medical Equipment & Medical Supplies | | | 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 |
| 4546327 | Other | | Ncpdp |
| 146568 | Medicaid | Texas | |
Medicare Enrollment:
Main Street Pharmacy, 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 |
| 7012037369 | O20161018000577 | Main Street Pharmacy Llc | DME SUPPLIER - PHARMACY |
Products Available:
Main Street Pharmacy, Llc has following products available for sale under medicare.
| Products: |
|---|
| • Blood Glucose Monitors & Supplies: Mail Order | • Blood Glucose Monitors & Supplies: Non-mail Order |
| • Canes & Crutches | • Commodes, Urinals, & Bedpans |
| • Enteral Equipment And/or Supplies | • Enteral Nutrients |
| • Heat & Cold Applications | • Nebulizer Equipment & Supplies |
| • Ostomy Supplies | • Parenteral Equipment And/or Supplies |
| • Parenteral Nutrients | • Surgical Dressings |
| • Urological Supplies | • Walkers |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 1 Cvs Dr, Box 1075
Woonsocket, Rhode Island |
| Zip: | 02895-6146 |
| Phone Number: | 401-765-1500 |
Patients can reach Main Street Pharmacy, Llc at
14703 Eagle Vista Dr, Houston, Texas or can
call on customer care at 281-249-7290.
Comments/ Reviews:
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.