Medsource Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDSOURCE PHARMACY, LLC

Practice address

4220 Cartwright Rd Ste 103
Missouri City, TX 77459-5307

Phone

(281) 969-7090

Fax

(281) 969-7085

NPI assigned

Jul 12, 2023

Last updated

Jul 12, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Melissa D Marshall

Title

Manager

Phone

(281) 969-7090

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1699454116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 103",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595307",
            "telephone_number": "281-969-7090",
            "fax_number": "281-969-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 CARTWRIGHT RD STE 103",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774595307",
            "telephone_number": "281-969-7090",
            "fax_number": "281-969-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDSOURCE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "MARSHALL",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-969-7090",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medium Brand LLC (Singularity Health)
• Medlin Pharmacy Inc
• Georgetta Marie Medlock, LPC, NCC
• Keeleey Medlow
• Medsource
• Medxas2
• Mega Health Care Providers, Inc.
• Willow Meline, DMD
• Melissa Earls, LPC (Peace of Mind Counseling)
• Melissa Y. Carpentier, PLLC (Renew Mental Health & Wellness)

• Community/Retail Pharmacy in Missouri City, TX
• Providers in Missouri City, 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 Jul 12, 2023; 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.