Active NPI
MPP Pharmacy Inc.
Doing business as Super Mercado Pharmacy
- Long Term Care Pharmacy
- Midland, TX
National Provider Identifier
1609624238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- MPP PHARMACY INC.
- Doing business as
- Super Mercado Pharmacy
- Practice address
- 2208 N Big Spring St
Midland, TX 79705-8823 - Phone
- (432) 682-9501
- Fax
- (432) 682-9497
- NPI assigned
- May 8, 2024
- Last updated
- May 8, 2024
- 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
- Dhaivant Patel
- Title
- Officer
- Phone
- (432) 682-9501
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | NU | Primary |
Addresses
Primary practice location
2208 N Big Spring St
Midland, TX 79705-8823
Mailing address
2208 N Big Spring St
Midland, TX 79705-8823
Phone (432) 682-9501
Other names 1
- SUPER MERCADO PHARMACY
National Provider Directory
National Provider Directory- Tax ID family
- MPP Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
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.
-
- Pharmacist
- Midland, TX
- NPI 1649961467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715126400000",
"number": "1609624238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 N BIG SPRING ST",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797058823",
"telephone_number": "432-682-9501",
"fax_number": "432-682-9497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 N BIG SPRING ST",
"city": "MIDLAND",
"state": "TX",
"postal_code": "797058823",
"telephone_number": "432-682-9501",
"fax_number": "432-682-9497"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MPP PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-08",
"last_updated": "2024-05-08",
"certification_date": "2024-05-08",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "DHAIVANT",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "432-682-9501"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SUPER MERCADO PHARMACY",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Midland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.