Organization Active NPI

MGS Pharmacy Inc

  • Community/Retail Pharmacy
  • Lancaster, TX
National Provider Identifier
1396804837
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
23290 Issued in TX
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
145430MedicaidTX

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.