M D Company, Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PP411628L Issued in PA

Legal business name

M D COMPANY, INC.

Practice address

1641 N Franklin St
Philadelphia, PA 19122-2903

Phone

(215) 763-1875

Fax

(215) 235-6897

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Mark Mogil, MCRP

Title

Administrator

Phone

(215) 763-1875

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• MD Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203897600000",
    "number": "1023185147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 N FRANKLIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191222903",
            "telephone_number": "215-763-1875",
            "fax_number": "215-235-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 N FRANKLIN ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191222903",
            "telephone_number": "215-763-1875",
            "fax_number": "215-235-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M D COMPANY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-02-25",
        "status": "A",
        "authorized_official_last_name": "MOGIL",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "215-763-1875",
        "authorized_official_credential": "MCRP"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": "PP411628L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000571206002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "3929277",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACE PROGRAM",
            "identifier": "393805",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2008; 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.