MMC Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MMC PHARMACY INC

Doing business as

Mill Run Community Pharmacy

Practice address

404 North St
Meadville, PA 16335-2562

Phone

(814) 337-6600

Fax

(814) 337-6607

NPI assigned

Mar 10, 2021

Last updated

Jul 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexander Mattocks Jr.NPI 1669138962

Title

Manager

Phone

(814) 337-6600

Specialties & licenses 1

Addresses

Other names 1

• MILL RUN COMMUNITY PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• MMC Pharmacy Inc

  dba Cochranton Community Pharmacy

  • Community/Retail Pharmacy
  • Cochranton, PA
  • NPI 1366257347

  O20231128003648

  Same enrollment
• MMC Pharmacy Inc

  dba Cochranton Community Pharmacy LTC

  • Long Term Care Pharmacy
  • Cochranton, PA
  • NPI 1639984610

  O20231128003648

  Same enrollment

Practitioners 1

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.

• Alexander Mattocks

  • Pharmacist
  • Meadville, PA
  • NPI 1669138962
  Authorized official Same address or phone

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1518542653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-337-6600",
            "fax_number": "814-337-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 NORTH ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352562",
            "telephone_number": "814-337-6600",
            "fax_number": "814-337-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MMC PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "MATTOCKS",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "814-337-6600",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MILL RUN COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MILL RUN COMMUNITY PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Kaela M Mitchell
• Thomas J Mitchell, M.D.
• MMC Pharmacy Inc
• Lisa Moffitt, OD
• Bryan Douglas Moles, D.O.
• Ryan G Molli, DO
• Moon Chiropractic, PC

• Community/Retail Pharmacy in Meadville, PA
• Providers in Meadville, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.