Main Street Pharmacy 3 LLC
NPI 1316249352ActiveOrganization· Pharmacy· Bridgeport, CT
Pharmacy in Bridgeport, Connecticut, registered in NPPES in November 2010. The authorized official on file is Jean K. Jacob, PHARM. D, Owner. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1316249352 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 24, 2010 |
| Last updated in NPPES | Mar 9, 2015 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (CT); Part B Supplier - Mass Immunization (Roster Biller Only) (CT) |
|---|
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