Organization Active NPI

MG RX LLC

  • Community/Retail Pharmacy
  • Lodi, NJ
National Provider Identifier
1518771245
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MG RX LLC
Doing business as
Lodi Pharmacy rx
Practice address
150-170 Main St
Suite 104
Lodi, NJ 07644-1724
Phone
(201) 577-8486
NPI assigned
Feb 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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

Authorized official

Name
Bassem GhobrialNPI 1467905455
Title
Authorized Officials
Phone
(201) 577-8486

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

150-170 Main St
Suite 104
Lodi, NJ 07644-1724

Mailing address

150 -170 Main St
Suite 104
Lodi, NJ 07644-1724

Other names 1

  • Lodi Pharmacy rx Doing business as

National Provider Directory

National Provider Directory

Locations

170 Main St
Ste 104
Lodi, NJ 07644

150 Main St
Lodi, NJ 07644

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747872000000",
    "number": "1518771245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 -170 MAIN ST",
            "address_2": "SUITE 104",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150-170 MAIN ST",
            "address_2": "SUITE 104",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441724",
            "telephone_number": "201-577-8486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG RX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "GHOBRIAL",
        "authorized_official_first_name": "BASSEM",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIALS",
        "authorized_official_telephone_number": "201-577-8486"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lodi Pharmacy rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Lodi Pharmacy rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.