MPN2 Pharmacy MGT LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MPN2 PHARMACY MGT LLC

Practice address

3100 RR 620 S Ste 500
Lakeway, TX 78738-5635

Phone

(512) 270-2311

Fax

(512) 270-2326

NPI assigned

Jun 22, 2020

Organization subpart

No

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

Authorized official

Name

Mina Shah

Title

Officer

Phone

(732) 318-9628

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Texan Pharmacy Doing business as

Practitioners 1

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

• Shyam Dharmendrakumar Patel

  • Pharmacist
  • Austin, TX
  • NPI 1881387397
  NPD

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592784000000",
    "number": "1710503164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 RR 620 S STE 500",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385635",
            "telephone_number": "512-270-2311",
            "fax_number": "512-270-2326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 RR 620 S STE 500",
            "city": "LAKEWAY",
            "state": "TX",
            "postal_code": "787385635",
            "telephone_number": "512-270-2311",
            "fax_number": "512-270-2326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPN2 PHARMACY MGT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-22",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "732-318-9628"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY LISENCE",
            "identifier": "33298",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Texan Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marshall Wade Morgan, DDS MSD
• Steven Mark Morgan, DDS
• Jack Gregory Morper, M.D.
• Mozdbar Eyecare PLLC
• Sima Taj Mozdbar, OD
• MSC Health Texas LLC
• Susan Dee Mueller, M.D.
• David C Murdy, MD
• Mai Murray, PA-C
• Raza Mushtaq, MD

• Pharmacy in Lakeway, TX
• Providers in Lakeway, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.