Medlife Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDLIFE PHARMACY

Doing business as

Medlife Pharmacy

Practice address

213 Highway 37 Ste 200&300
Mount Vernon, TX 75457-3106

Phone

(903) 706-5065

NPI assigned

Jul 10, 2020

Last updated

Nov 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Machender R KandadiNPI 1376916577

Title

Manager/Owner

Phone

(903) 706-5065

Specialties & licenses 1

Addresses

Other names 1

• MEDLIFE PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• 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": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637884800000",
    "number": "1114545571",
    "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": "213 HIGHWAY 37 STE 200&300",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754573106",
            "telephone_number": "903-706-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDLIFE PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2021-11-26",
        "certification_date": "2021-11-26",
        "status": "A",
        "authorized_official_last_name": "KANDADI",
        "authorized_official_first_name": "MACHENDER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "903-706-5065",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDLIFE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• LS Vernon Operator LLC (Willow Creek Healthcare Centre)
• Jeffrey Wayne Mannis, D.C.
• Brianna Martinez Melendez, PA-C
• McKenna Medders, ATC
• Medicine Chest Medical Supply, Inc. (Medicine Chest Medical Supply of Mt. Vernon)
• Michael a. Walker, D.O., P.a.
• MJ Management
• Mother Frances Hospital-Winnsboro (Family Care Center Mt Vernon)
• Mount Vernon Eye Care & Eyewear Gallery PLLC
• Mount Vernon Healthcare Residence LLC (Mission Manor Healthcare Residence)

• Community/Retail Pharmacy in Mount Vernon, TX
• Providers in Mount Vernon, 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 Nov 26, 2021; 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.