Medprime Health Services LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31088 Issued in TX

Legal business name

MEDPRIME HEALTH SERVICES LLC

Doing business as

Medprime Pharmacy

Practice address

3310 Lamar Ave Ste B
Paris, TX 75460

Phone

(903) 706-5065

NPI assigned

Nov 3, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Machender Reddy KandadiNPI 1376916577

Title

Owner

Phone

(903) 706-5065

Specialties & licenses 1

Addresses

Other names 1

• MEDPRIME PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Machender Reddy Kandadi, RPH., PHD

  • Pharmacist
  • Paris, TX
  • NPI 1376916577
  NPD Authorized official

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534291200000",
    "number": "1053863357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3310 LAMAR AVE STE B",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605024",
            "telephone_number": "903-706-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 LAMAR AVE STE B",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75460",
            "telephone_number": "903-706-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRIME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2018-08-15",
        "status": "A",
        "authorized_official_last_name": "KANDADI",
        "authorized_official_first_name": "MACHENDER",
        "authorized_official_middle_name": "REDDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-706-5065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDPRIME PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MEDPRIME PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Deborah K McLaurin-McCraw, MS, LPC
• Doloris L McMakin, LPC
• Wendy Gail McNeal, LCSW
• MD Consultative Services, LLC
• Med Group Dba (OnCall Home Health & Rehab Services)
• Abiy Mekonnen, PHARMD
• Melissa Stansell OD PA (Texas Optical)
• Kelly Rene' Merritt, APRN
• Michael D. Brown, Jr., D.O., PA
• Michael S. Lenertz, DPM, PA

• Community/Retail Pharmacy in Paris, TX
• Providers in Paris, 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 Aug 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.