MP Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

15212 Issued in TX

Legal business name

MP PHARMACY LLC

Practice address

7220 Louis Pasteur Dr
Suite 152B
San Antonio, TX 78229

Phone

(210) 868-6420

Fax

(210) 868-6441

NPI assigned

Sep 15, 2005

Organization subpart

No

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

Authorized official

Name

Srinivasu Vatti

Title

Officer

Phone

(210) 868-6420

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MedPlus Long Term Care Pharmacy Doing business as

Tax ID family

Medplus Long Term Care Pharmacy3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Oakdell Pharmacy Inc

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1427043736
  NPD tax ID
• Oakdell Pharmacy LLC

  • Community/Retail Pharmacy
  • San Antonio, TX
  • NPI 1912059262
  NPD tax ID

Locations

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1124013131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR DR",
            "address_2": "SUITE 152B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-868-6420",
            "fax_number": "210-614-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7220 LOUIS PASTEUR DR",
            "address_2": "SUITE 152B",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-868-6420",
            "fax_number": "210-868-6441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "VATTI",
        "authorized_official_first_name": "SRINIVASU",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "210-868-6420"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "TX",
            "license": "15212",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100732",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "351018",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPlus Long Term Care Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samuel Z Moya, D.C.
• Kimberly Ellen Moyer, RN
• Christian Annaleece Moyers
• Madisson Ann Moynahan
• MP MD PA
• MP Pharmacy LLC
• Mpac Mental Health Texas, PLLC
• Mpower Clinical TX
• Ndanzia Mpunga, MD
• Mr Mikes 39.95 Optical L.L.C.

• Long Term Care Pharmacy in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.