MG Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

001768 Issued in AZ

Legal business name

MG PHARMACY

Doing business as

MG Pharmacy

Practice address

4025 W Bell Rd
Ste 1a
Phoenix, AZ 85053-2750

Phone

(602) 439-3366

NPI assigned

Aug 10, 2006

Last updated

Jan 10, 2012By 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

Morris Gortler

Title

Owner

Phone

(602) 439-3366

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MG PHARMACY Doing business as

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1821009499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD",
            "address_2": "STE 1A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532750",
            "telephone_number": "602-439-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 W BELL RD",
            "address_2": "STE 1A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850532750",
            "telephone_number": "602-439-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MG PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "GORTLER",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-439-3366"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AZ",
            "license": "001768",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078958",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0314396",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MG PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Alexis Adriana Meza
• Eric Ryan Meza
• Ruben Meza Jr.
• Charles John Mezey, LMSW
• Patricia Jean Mezey, OTRL
• Anthonia N Mgbara
• MH 7 LLC (Pinnacle Health Associate)
• MH Az Counseling LLC
• Mona Vijay Mhatre, DO
• MHB, LLC

• Community/Retail Pharmacy in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Community/Retail Pharmacy in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.