Organization Active NPI

MFP, LTD.

  • Clinic/Center
  • Tucson, AZ
National Provider Identifier
1124213640
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
Y02793 Issued in AZ
Legal business name
MFP, LTD.
Doing business as
Prescription Lab Compounding Pharmacy
Practice address
6586 E Grant Rd
Tucson, AZ 85715-3801
Phone
(520) 886-1035
Fax
(520) 886-3548
NPI assigned
Sep 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Mr. David Anthony Nicoletti, R.PH,CCN.,FIACP,FACA
Title
President
Phone
(520) 886-1035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Y02793 AZ Primary

Addresses

Primary practice location

6586 E Grant Rd
Tucson, AZ 85715-3801

Mailing address

6586 E Grant Rd
Tucson, AZ 85715-3801
Phone (520) 886-1035

Other names 1

  • Prescription Lab Compounding Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

6586 E Grant Rd
Tucson, AZ 85715
Phone (520) 886-1035

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1124213640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6586 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153801",
            "telephone_number": "520-886-1035",
            "fax_number": "520-886-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6586 E GRANT RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857153801",
            "telephone_number": "520-886-1035",
            "fax_number": "520-886-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MFP, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-07",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "NICOLETTI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "520-886-1035",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH,CCN.,FIACP,FACA"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "AZ",
            "license": "Y02793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prescription Lab Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2007; 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.