Medpharm Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDPHARM PHARMACY LLC

Practice address

508 Murphy Rd Ste E
Stafford, TX 77477-5449

Phone

(281) 885-2690

NPI assigned

Sep 22, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Reeba Panicker

Title

Owner

Phone

(281) 885-2690

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695340800000",
    "number": "1003695719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "508 MURPHY RD STE E",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 MURPHY RD STE E",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774775449",
            "telephone_number": "281-885-2690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPHARM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-22",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A",
        "authorized_official_last_name": "PANICKER",
        "authorized_official_first_name": "REEBA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-885-2690"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Retail Pharmacy in Stafford, TX
• Providers in Stafford, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.