MPNS Pharmacy MGT LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MPNS PHARMACY MGT LLC

Practice address

1515 Medical Pkwy Ste 101a
Cedar Park, TX 78613-2776

Phone

(512) 296-2633

NPI assigned

Dec 24, 2019

Organization subpart

No

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

Authorized official

Name

Mina R Shah

Title

Officer

Phone

(732) 318-9628

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Texan Specialty Rx Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rajesh B Shah, B.S.

  • Pharmacist
  • Somerset, NJ
  • NPI 1679637441
  NPD (past)

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

{
    "created_epoch": "1577145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649030400000",
    "number": "1427697382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JEAN CT",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737337",
            "telephone_number": "732-318-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MEDICAL PKWY STE 101A",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132776",
            "telephone_number": "512-296-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPNS PHARMACY MGT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-24",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MINA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "732-318-9628"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE BOARD OF PHARMACY",
            "identifier": "33039",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "7803370001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texan Specialty Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Texan Specialty Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Afshin Motalebi, SOLE PROPRIETOR
• Jennifer Lynn Mott
• Motusium Inc
• Mary Burnett Moyer, PT
• MPN3 Pharmacy MGT LLC
• Colin Muething, BCBA
• Linda B. Mughrabi
• Aparna Mukkamala, MD
• Lakshmi Mukundan, M.D.
• Reddiah Babu Mummaneni, M.D.

• Community/Retail Pharmacy in Cedar Park, TX
• Providers in Cedar Park, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.