Organization Active NPI

Mekason Medical Inc

Doing business as Medical Park Pharmacy

  • Community/Retail Pharmacy
  • Odessa, TX
National Provider Identifier
1639825649
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MEKASON MEDICAL INC
Doing business as
Medical Park Pharmacy
Practice address
4103 Faudree Rd Ste 110
Odessa, TX 79765-8511
Phone
(432) 262-0135
Fax
(432) 262-0137
NPI assigned
Feb 28, 2022
Last updated
Feb 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Emeka Onyemetu, PHARMD
Title
Owner
Phone
(432) 262-0135

Specialties & licenses 1

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

Addresses

Primary practice location

4103 Faudree Rd Ste 110
Odessa, TX 79765-8511

Mailing address

3205 W Cuthbert Ave Ste A5
Midland, TX 79701-5594
Phone (432) 262-0135

Other names 1

  • MEDICAL PARK PHARMACY Doing business as

National Provider Directory

National Provider Directory

Locations

4103 N Faudree Rd
Ste 110
Odessa, TX 79765
Phone (432) 262-0135

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1639825649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 W CUTHBERT AVE STE A5",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797015594",
            "telephone_number": "432-262-0135",
            "fax_number": "432-262-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4103 FAUDREE RD STE 110",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797658511",
            "telephone_number": "432-262-0135",
            "fax_number": "432-262-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEKASON MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "ONYEMETU",
        "authorized_official_first_name": "EMEKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "432-262-0135",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PARK PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Odessa, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.