Organization Active NPI

Medicine Shoppe

  • Community/Retail Pharmacy
  • Mesquite, TX
National Provider Identifier
1285749226
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEDICINE SHOPPE
Practice address
6500 Northwest Dr
Suite 385
Mesquite, TX 75150-6849
Phone
(972) 613-6768
Fax
(972) 613-7477
NPI assigned
Aug 20, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Susan Guinn
Title
Medicaid Medicare Billing Spec
Phone
(314) 993-6000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 19942 TX
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

6500 Northwest Dr
Suite 385
Mesquite, TX 75150-6849

Mailing address

1100 N Lindbergh Blvd
Saint Louis, MO 63132-2914

Other identifiers 2

IdentifierTypeStateIssuer
4512643OtherOTHER ID NUMBER-COMMERCIAL NUMBER
144945MedicaidTX

National Provider Directory

National Provider Directory

Locations

6500 Northwest Dr
Ste 385
Mesquite, TX 75150
Phone (972) 613-6768

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285749226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631322914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 NORTHWEST DR",
            "address_2": "SUITE 385",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506849",
            "telephone_number": "972-613-6768",
            "fax_number": "972-613-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICINE SHOPPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GUINN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MEDICAID MEDICARE BILLING SPEC",
        "authorized_official_telephone_number": "314-993-6000"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "19942",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4512643",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144945",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.