MEDICARE: MAIN STREET DRUGS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1871487157
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAIN STREET DRUGS INC.

Provider Business Mailing Address
First Line	:	3809 MAIN ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5517
Country	:	US
Telephone Number	:	347-438-1265
Fax Number	:	347-368-6746

Provider Business Practice Location Address
First Line	:	3809 MAIN ST
Second Line	:
City	:	FLUSHING
State	:	NY
Zip	:	11354-5517
Country	:	US
Telephone Number	:	347-438-1265
Fax Number	:	347-368-6746

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KUN SIOUNG WONG
Credential	:
Telephone Number	:	347-438-1265

Provider Enumeration Date	:	06/03/2025
Last Update Date	:	06/03/2025

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Directions to “MAIN STREET DRUGS INC. ” Practice Location

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