Organization Active NPI

Momo Group LLC

Doing business as A&M Drug Store

  • Community/Retail Pharmacy
  • Dallas, TX
National Provider Identifier
1598402547
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MOMO GROUP LLC
Doing business as
A&M Drug Store
Practice address
15340 Dallas Pkwy Ste 2630
Dallas, TX 75248-4630
Phone
(214) 377-8066
Fax
(214) 522-2283
NPI assigned
May 19, 2022
Last updated
Jun 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Dr. Mohammad Aghassibake, PHARMDNPI 1578846820
Title
Officer/Pic
Phone
(214) 377-8066

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

15340 Dallas Pkwy Ste 2630
Dallas, TX 75248-4630

Mailing address

15340 Dallas Pkwy Ste 2630
Dallas, TX 75248-4630
Phone (214) 377-8066

Other identifiers 1

IdentifierTypeStateIssuer
1598402547MedicaidTX

Other names 1

  • A&M Drug Store Doing business as

National Provider Directory

National Provider Directory

Locations

15340 Dallas Pkwy
Ste 2630
Dallas, TX 75248
Phone (214) 377-8066

4520 Texoma Pkwy
Ste D
Sherman, TX 75090

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1598402547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15340 DALLAS PKWY STE 2630",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484630",
            "telephone_number": "214-377-8066",
            "fax_number": "214-522-2283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15340 DALLAS PKWY STE 2630",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484630",
            "telephone_number": "214-377-8066",
            "fax_number": "214-522-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMO GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "AGHASSIBAKE",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "OFFICER/PIC",
        "authorized_official_telephone_number": "214-377-8066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598402547",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A&M Drug Store",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "A&M Drug Store",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.