MSRX Inc

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

32632 Issued in NY

Legal business name

MSRX INC

Doing business as

Austin Community Compounding Pharmacy

Practice address

67 01 Austin St
Forest Hills, NY 11375

Phone

(718) 459-0090

Fax

(718) 459-8090

NPI assigned

Feb 6, 2014

Last updated

Jul 18, 2014By 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

Mary Andersen

Title

Owner

Phone

(503) 704-1485

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Austin Community Compounding Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405641600000",
    "number": "1578987814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 JEAN RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970355307",
            "telephone_number": "503-704-1485",
            "fax_number": "503-344-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 01 AUSTIN ST",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "11375",
            "telephone_number": "718-459-0090",
            "fax_number": "718-459-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MSRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-07-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-704-1485"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "NY",
            "license": "32632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2146833",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Austin Community Compounding Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinic Pharmacy in Forest Hills, NY
• Providers in Forest Hills, NY by specialty
• Clinic Pharmacy in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.