Active NPI
Medstork RX, LLC
Doing business as MedStork Rx
- Pharmacy
- Garland, TX
National Provider Identifier
1518580422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- Legal business name
- MEDSTORK RX, LLC
- Doing business as
- MedStork Rx
- Practice address
- 1413 E Interstate 30 Ste 6
Garland, TX 75043-4784 - Phone
- (888) 700-5702
- NPI assigned
- May 26, 2020
- 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
- Mrs. Jessica Riggs
- Title
- Owner
- Phone
- (972) 689-9442
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | Primary |
Addresses
Primary practice location
1413 E Interstate 30 Ste 6
Garland, TX 75043-4784
Mailing address
156 Falcon Point Dr
Rockwall, TX 75032-8652
Phone (972) 689-9442
Other names 1
- MedStork Rx
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210706003312 | TX | Part B Supplier - Mass Immunization (Roster Biller Only) | 4183026677 | Practice locations: Garland, TX |
National Provider Directory
National Provider Directory- Tax ID family
- Medstork RX
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pharmacy
- Garland, TX
- NPI 1649929878
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Garland, TX
- NPI 1447009048
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1590451200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1590969600000",
"number": "1518580422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 FALCON POINT DR",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750328652",
"telephone_number": "972-689-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1413 E INTERSTATE 30 STE 6",
"city": "GARLAND",
"state": "TX",
"postal_code": "750434784",
"telephone_number": "888-700-5702"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDSTORK RX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-05-26",
"last_updated": "2020-06-01",
"certification_date": "2020-06-01",
"status": "A",
"authorized_official_last_name": "RIGGS",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "972-689-9442",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MedStork Rx",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Garland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2020; 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.