MP Southpark Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MP SOUTHPARK PHARMACY LLC

Doing business as

Food King Pharmacy Menard

Practice address

104 E San Saba St
Menard, TX 76859-2709

Phone

(325) 396-2480

NPI assigned

Oct 29, 2019

Last updated

Mar 11, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

PAY AND SAVE INCAs reported in NPPES

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

Authorized official

Name

Jennifer D White

Title

Finance Manager

Phone

(325) 655-3146

Specialties & licenses 1

Addresses

Other names 1

• Food King Pharmacy Menard Doing business as

Tax ID family

Food King Pharmacy Menard2 organizations share this tax ID, including this one

Part of

Roden Drug

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• MP Southpark Pharmacy LLC

  dba Food King Pharmacy Sterling City

  • Community/Retail Pharmacy
  • Sterling City, TX
  • NPI 1699318253
  NPD tax ID

Locations

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

{
    "created_epoch": "1572307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1770127250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1804 HALL AVE",
            "city": "LITTLEFIELD",
            "state": "TX",
            "postal_code": "793395439",
            "telephone_number": "325-655-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 E SAN SABA ST",
            "city": "MENARD",
            "state": "TX",
            "postal_code": "768592709",
            "telephone_number": "325-396-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MP SOUTHPARK PHARMACY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAY AND SAVE INC",
        "enumeration_date": "2019-10-29",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "325-655-3146"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Food King Pharmacy Menard",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Menard County Hospital District (Menard Manor)
• Menard Emergency Services, Inc.
• Menard Independent School District
• Menard Isd
• Marie T. Miller, COTA
• Eddie Lee Nixon, DO
• Tammy Frerich Parrish, LPC-A
• Vicki Benton Roth, DVM

• Community/Retail Pharmacy in Menard, TX
• Providers in Menard, 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 11, 2025; 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.