MGP RX, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MGP RX, LLC

Doing business as

MGP Pharmacy

Practice address

1951 Canton Rd Ste 290
Marietta, GA 30066-6300

Phone

(859) 391-4668

NPI assigned

Feb 13, 2019

Organization subpart

No

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

Authorized official

Name

Zeeshan Haq

Title

Partner

Phone

(832) 895-7125

Specialties & licenses 2

Addresses

Other names 1

• MGP PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576540800000",
    "number": "1134685241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8242 ALEXANDRIA PIKE",
            "city": "ALEXANDRIA",
            "state": "KY",
            "postal_code": "410011162",
            "telephone_number": "470-443-2268",
            "fax_number": "888-298-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1951 CANTON RD STE 290",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300666300",
            "telephone_number": "859-391-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGP RX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-13",
        "last_updated": "2019-12-17",
        "certification_date": "2019-12-17",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "ZEESHAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "832-895-7125"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MGP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MGP PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi R Meyer, MSN,CFNP,CNRN,APRN
• Roger A Meyer, M.D., D.D.S.
• Anna Frances Meyerson, M.D.
• Madonna Beth Mezzanotte, LPC
• Mga, LLC
• Joseph L Micca, MD
• Michael H Mulkey, DMD PC (Lost Mountain Dental @ Due West)
• Michael L. Leingang, III, DDS, PC
• Michael Petrosky
• Michael S Rappaport PC (A Family Chiropractic Center)

• Community/Retail Pharmacy in Marietta, GA
• Providers in Marietta, GA by specialty
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2019; 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.