NPIMap

Organization Active NPI

M & S Pharmacy, Inc.

Doing business as M & S Pharmacy

  • Long Term Care Pharmacy
  • Nacogdoches, TX
National Provider Identifier
1386204717
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
M & S PHARMACY, INC.
Doing business as
M & S Pharmacy
Practice address
917 E Austin St
Nacogdoches, TX 75965-2845
Phone
(936) 564-7373
Fax
(936) 564-9338
NPI assigned
Jun 18, 2019
Last updated
Feb 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Mark Bradley
Title
Director of Pharmacy Operations
Phone
(936) 462-3666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

917 E Austin St
Nacogdoches, TX 75965-2845

Mailing address

917 E Austin St
Nacogdoches, TX 75965-2845
Phone (936) 564-7373

Other identifiers 1

IdentifierTypeStateIssuer
142098MedicaidTX

Other names 1

  • M & S Pharmacy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1386204717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 E AUSTIN ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652845",
            "telephone_number": "936-564-7373",
            "fax_number": "936-564-9338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 E AUSTIN ST",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759652845",
            "telephone_number": "936-564-7373",
            "fax_number": "936-564-9338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M & S PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY OPERATIONS",
        "authorized_official_telephone_number": "936-462-3666"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142098",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "M & S Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "M & S Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Nacogdoches, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.