Main Street Pharmacy, L.L.C.
NPI 1851974794ActiveOrganization· Pharmacy· Dallas, TX
Pharmacy in Dallas, Texas, registered in NPPES in April 2021. The authorized official on file is Susan F. Colbert, Sr Director. Enrolled in Medicare as dme supplier - pharmacy and part b supplier - mass immunization (roster biller only).
Overview
| NPI | 1851974794 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 29, 2021 |
| Last updated in NPPES | Jul 30, 2021 |
| Certified by provider | Jul 30, 2021 |
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 · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Pharmacy (TX); Part B Supplier - Mass Immunization (Roster Biller Only) (TX) |
|---|
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