Mesa Pharma Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31202 Issued in TX

Legal business name

MESA PHARMA INC

Doing business as

Mesa Hills Pharmacy

Practice address

310 S Mesa Hills Dr Ste C
El Paso, TX 79912-5881

Phone

(915) 308-2050

Fax

(915) 283-4646

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Amit Narawane

Title

President

Phone

(915) 308-2050

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MESA HILLS PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1649716465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S MESA HILLS DR STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125881",
            "telephone_number": "915-308-2050",
            "fax_number": "915-283-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S MESA HILLS DR STE C",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799125881",
            "telephone_number": "915-308-2050",
            "fax_number": "915-283-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESA PHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "NARAWANE",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "915-308-2050"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "31202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2167325",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149571",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MESA HILLS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darla Christine Mersman, MA
• Mesa Hills Chiropractic
• Mesa Hills Healthcare Residence Operator LLC (Mesa Hills Healthcare Residence)
• Mesa Hills Outpatient Surgical
• Mesa Hills Specialty Hospital Operator LLC (Premier Specialty Hospital of El Paso)
• Mesa West Medical PA
• Jasper Mesarch, D.O., MBA
• Frew Meshesha, PHARMD
• Byron Meshram, MD
• Mesilla Valley Hospital

• Community/Retail Pharmacy in El Paso, TX
• Providers in El Paso, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.