MPN Pharmacy MGT LLC

Primary specialty

PharmacyTaxonomy code 333600000X

License

30976 Issued in TX

Legal business name

MPN PHARMACY MGT LLC

Practice address

7201 Wyoming Springs Dr Ste 300
Round Rock, TX 78681-4311

Phone

(512) 296-2633

Fax

(512) 296-2731

NPI assigned

Aug 10, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Mina Shah

Title

President

Phone

(732) 318-9628

Specialties & licenses 3

Addresses

Other names 1

• Texan Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 3

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

• Rucha Bhatt

  • Pharmacist
  • Round Rock, TX
  • NPI 1790301083
  NPD (past)
• Niral Modi, PHARMD

  • Pharmacist
  • Round Rock, TX
  • NPI 1922400464
  NPD (past)
• Rutu Patel

  • Pharmacist
  • Round Rock, TX
  • NPI 1649064791
  NPD (past)

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1629522347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7201 WYOMING SPRINGS DR STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814311",
            "telephone_number": "512-296-2633",
            "fax_number": "512-296-2731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7201 WYOMING SPRINGS DR STE 300",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814311",
            "telephone_number": "512-296-2633",
            "fax_number": "512-296-2731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPN PHARMACY MGT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-318-9628",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "TX",
            "license": "30976",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "30976",
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "TX",
            "license": "30976",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cassidy Mottola, CAA
• Brandy Anne Mounts, MED, LPC
• Holly Mouton
• Julie Lynn Mowad, MS, SLP
• Taylor A Moyer
• Mubashar Munir MD PA
• Tara R Mudambi, M.D.
• Britni Mueck, LPC
• Mark R Muecke, LCDC; LMSW
• Janice M Muehle, PHARMD

• Pharmacy in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.