Active NPI
MGS Pharmacy Inc
- Community/Retail Pharmacy
- Lancaster, TX
National Provider Identifier
1396804837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 23290
- Legal business name
- MGS PHARMACY INC
- Practice address
- 2505 W Belt Line Rd
Suite 600
Lancaster, TX 75146-1930 - Phone
- (972) 223-8787
- NPI assigned
- Dec 8, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gabriel T Shonuga, B PHARM
- Title
- Pharmacist in Charge
- Phone
- (972) 223-8787
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | 23290 | TX | Primary |
Addresses
Primary practice location
2505 W Belt Line Rd
Suite 600
Lancaster, TX 75146-1930
Mailing address
PO Box 765327
Dallas, TX 75376-5327
Phone (972) 223-8787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145430 | Medicaid | TX |
National Provider Directory
National Provider DirectoryLocations
2505 W Belt Line Rd
Ste 600
Lancaster, TX 75146
Phone (972) 223-8787
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396804837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 765327",
"city": "DALLAS",
"state": "TX",
"postal_code": "753765327",
"telephone_number": "972-223-8787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2505 W BELT LINE RD",
"address_2": "SUITE 600",
"city": "LANCASTER",
"state": "TX",
"postal_code": "751461930",
"telephone_number": "972-223-8787"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MGS PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHONUGA",
"authorized_official_first_name": "GABRIEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PHARMACIST IN CHARGE",
"authorized_official_telephone_number": "972-223-8787",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B PHARM"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "TX",
"license": "23290",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "145430",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lancaster, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.