Mopa Group, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MOPA GROUP, LLC

Doing business as

Indy Drug Co.

Practice address

841 Hospital Rd Ste 1100
Indiana, PA 15701-3660

Phone

(724) 675-8206

NPI assigned

Apr 16, 2024

Last updated

Apr 16, 2024By 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

John Pastorek, PHARMDNPI 1013396167

Title

Member of LLC

Phone

(724) 316-9235

Specialties & licenses 2

Addresses

Other names 1

• Indy Drug Co. Doing business as

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Tax ID family

Indy Drug Co2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mopa Group, LLC

  dba Indy Drug Co.

  • Long Term Care Pharmacy
  • Indiana, PA
  • NPI 1952190688
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Pastorek

  • Pharmacist
  • Indiana, PA
  • NPI 1013396167
  Authorized official Same address or phone

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1801640842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL RD STE 1100",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013660",
            "telephone_number": "724-675-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 HOSPITAL RD STE 1100",
            "city": "INDIANA",
            "state": "PA",
            "postal_code": "157013660",
            "telephone_number": "724-675-8206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOPA GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "PASTOREK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEMBER OF LLC",
        "authorized_official_telephone_number": "724-316-9235",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indy Drug Co.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachelle Marie Monsour, R.N.
• Diane Montgomery, PHARMD
• Michael Raymond Monticue, LCSW
• Chelsea Moore
• Cybil E Moore, MA
• Mopa Group, LLC (Indy Drug Co.)
• Stacy Lynne Moran, PA-C
• Kathleen Faye Moreland, LPC
• Emily Morrow
• William Peter Mueller, MD

• Community/Retail Pharmacy in Indiana, PA
• Providers in Indiana, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.