Main Street Pharmacy, L.L.C.
NPI 1073159885ActiveOrganization· Pharmacy· Ashburn, VA
Pharmacy in Ashburn, Virginia, registered in NPPES in November 2019. The authorized official on file is Susan F. Colbert, Sr Director Payer Relations. Enrolled in Medicare as dme supplier - pharmacy.
Overview
| NPI | 1073159885 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 27, 2019 |
| Last updated in NPPES | Oct 14, 2020 |
| Certified by provider | Oct 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
| Pharmacy, Community/Retail Pharmacy | 3336C0003X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (VA) |
|---|
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