MC Crory Pharmacy, Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MC CRORY PHARMACY, INC

Practice address

6151 Dew Dr
Suite 100
El Paso, TX 79912-3909

Phone

(915) 581-9655

Fax

(915) 587-6556

NPI assigned

Sep 14, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Gary Edwin McCrory, RPH.

Title

President

Phone

(915) 581-9655

Specialties & licenses 3

Addresses

Other identifiers 4

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337040000000",
    "number": "1285629337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6151 DEW DR",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123909",
            "telephone_number": "915-581-9655",
            "fax_number": "915-587-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6151 DEW DR",
            "address_2": "SUITE 100",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123909",
            "telephone_number": "915-581-9655",
            "fax_number": "915-587-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MC CRORY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-14",
        "last_updated": "2012-05-15",
        "status": "A",
        "authorized_official_last_name": "MCCRORY",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-581-9655",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "03322",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091554802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP/PHARMACY",
            "identifier": "4567256",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013618601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "091554801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• MB Care LLC
• Mireille Mehmeh Mbah, MD
• Anualita Mbarusha
• Destiny Mbidoaka, OD
• Matilda Ngob Mbua, FNP
• Aishah MC Daniel
• MC-Advanced Wound Care PA
• Michelle Helen McAden, DMD
• Daniel O McAffee, DPM
• Irene Mary McAleer, M.D.

• Durable Medical Equipment & Medical Supplies in El Paso, TX
• Providers in El Paso, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2012; 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.