MLS Pharmacy LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP443998 Issued in PA

Legal business name

MLS PHARMACY LLC

Doing business as

MAIN LINE SPINE PHARMACY

Practice address

700 S Henderson Rd Ste 308C
King of Prussia, PA 19406-4206

Phone

(610) 717-5588

Fax

(610) 717-5589

NPI assigned

Jul 9, 2012

Organization subpart

No

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

Authorized official

Name

Phillip Shin

Title

Member

Phone

(610) 717-5588

Specialties & licenses 1

Addresses

Other names 1

• MAIN LINE SPINE PHARMACY Doing business as

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1770848467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD STE 308C",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064206",
            "telephone_number": "610-717-5588",
            "fax_number": "610-717-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD STE 308C",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194064206",
            "telephone_number": "610-717-5588",
            "fax_number": "610-717-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "610-717-5588"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP443998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN LINE SPINE PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Debra Miscio, RBT
• Tara Misher
• Nicole Mitchell-Bittencourt, RBT
• Margaret Anne Mitchell
• Maurice Mitchell
• Michaela Mocanu, MD
• Barsha Moktan, DMD
• Monarch Med Spa, Inc.
• Gabriela Anahi Mongelos, LBS
• Bianca Montalvo

• Pharmacist in King of Prussia, PA
• Providers in King of Prussia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.