Active NPI
MG RX LLC
- Community/Retail Pharmacy
- Lodi, NJ
National Provider Identifier
1518771245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bassem Ghobrial
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pharmacist
- Jersey City, NJ
- NPI 1467905455
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.