Organization Active NPI

Medx Pharmacy LLC

Doing business as Medx Pharmacy

  • Community/Retail Pharmacy
  • Oregon, OH
National Provider Identifier
1033694013
Registry record updated Oct 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDX PHARMACY LLC
Doing business as
Medx Pharmacy
Practice address
3021 Navarre Ave
Oregon, OH 43616-3498
Phone
(419) 214-9065
NPI assigned
Sep 26, 2018
Last updated
Oct 2, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2024

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

Authorized official

Name
Imad Mourad, PHARMACIST
Title
RPH
Phone
(419) 214-9065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

3021 Navarre Ave
Oregon, OH 43616-3498

Mailing address

3021 Navarre Ave
Oregon, OH 43616-3498
Phone (419) 214-9065

Other names 1

  • MEDX PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

3021 Navarre Ave
Oregon, OH 43616
Phone (419) 214-9065

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1033694013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3021 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163498",
            "telephone_number": "419-214-9065",
            "fax_number": "419-214-9067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163498",
            "telephone_number": "419-214-9065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDX PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-26",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "MOURAD",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "RPH",
        "authorized_official_telephone_number": "419-214-9065",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDX PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.