Organization Active NPI

MGLS Properties, LLC

Doing business as Whitewright Pharmacy

  • Community/Retail Pharmacy
  • Whitewright, TX
National Provider Identifier
1265832471
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
29382 Issued in TX
Legal business name
MGLS PROPERTIES, LLC
Doing business as
Whitewright Pharmacy
Practice address
419 S State Hwy. 69
Whitewright, TX 75491-2425
Phone
(903) 364-5537
Fax
(903) 364-5774
NPI assigned
Aug 26, 2014
Last updated
Sep 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2016

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

Authorized official

Name
Mrs. Alydia Schatz SaenzNPI 1225275696
Title
Pharmacist/Owner
Phone
(903) 364-5537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 29382 TX Primary

Addresses

Primary practice location

419 S State Hwy. 69
Whitewright, TX 75491-2425

Mailing address

PO Box 987
Whitewright, TX 75491-0987
Phone (903) 364-5537

Other identifiers 1

IdentifierTypeStateIssuer
147148MedicaidTX

Other names 1

  • Whitewright Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161012001842 TX Part B Supplier - Mass Immunization (Roster Biller Only) 2264720945 Practice locations: Whitewright, TX

National Provider Directory

National Provider Directory

Locations

2065 Beasley Blvd
Ste 200
Whitewright, TX 75491
Phone (903) 364-5537

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475107200000",
    "number": "1265832471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 987",
            "city": "WHITEWRIGHT",
            "state": "TX",
            "postal_code": "754910987",
            "telephone_number": "903-364-5537",
            "fax_number": "903-364-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 S STATE HWY. 69",
            "city": "WHITEWRIGHT",
            "state": "TX",
            "postal_code": "754912425",
            "telephone_number": "903-364-5537",
            "fax_number": "903-364-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGLS PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-26",
        "last_updated": "2016-09-29",
        "status": "A",
        "authorized_official_last_name": "SAENZ",
        "authorized_official_first_name": "ALYDIA",
        "authorized_official_middle_name": "SCHATZ",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "903-364-5537",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "29382",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147148",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Whitewright Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whitewright, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.