Organization Active NPI

MGRX LLC

Doing business as Musgrove Pharmacy

  • Community/Retail Pharmacy
  • Silver Spring, MD
National Provider Identifier
1326552886
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MGRX LLC
Doing business as
Musgrove Pharmacy
Practice address
2415 Musgrove Rd Ste 101
Silver Spring, MD 20904-5221
Phone
(301) 879-2011
Fax
(301) 879-1515
NPI assigned
Nov 20, 2017
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Mr. Nilkanth Patel
Title
Authorized Official
Phone
(301) 879-2011

Specialties & licenses 1

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

Addresses

Primary practice location

2415 Musgrove Rd Ste 101
Silver Spring, MD 20904-5221

Mailing address

2415 Musgrove Rd Ste 101
Silver Spring, MD 20904-5221
Phone (301) 897-2011

Other identifiers 1

IdentifierTypeStateIssuer
370013500MedicaidMD

Other names 1

  • Musgrove Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

2415 Musgrove Rd
Ste 101
Silver Spring, MD 20904
Phone (301) 656-7226

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1326552886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD STE 101",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045221",
            "telephone_number": "301-897-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 MUSGROVE RD STE 101",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209045221",
            "telephone_number": "301-879-2011",
            "fax_number": "301-879-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MGRX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NILKANTH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "301-879-2011",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370013500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Musgrove Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.