Med Shop Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

MED SHOP PHARMACY INC

Practice address

825 US Highway 271 N
Gilmer, TX 75644-5580

Phone

(903) 680-2600

Fax

(903) 680-2605

NPI assigned

Dec 12, 2019

Last updated

Sep 4, 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

Patrick Wayne PowersNPI 1548824675

Title

Pharmacist/Owner

Phone

(903) 680-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Med Shop Pharmacy Inc2 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.

• Med Shop Pharmacy Inc

  dba The Med-Shop Pharmacy

  • Community/Retail Pharmacy
  • Gilmer, TX
  • NPI 1659316792
  NPD tax ID

Locations

Practitioners 3

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.

• Patrick Wayne Powers, RPH

  • Pharmacist
  • Gilmer, TX
  • NPI 1548824675
  NPD Authorized official
• John Patrick Powers, PHARMD

  • Pharmacist
  • Gilmer, TX
  • NPI 1699505545
  NPD
• Melanie Mercer Brashear, RPH

  • Pharmacist
  • Gilmer, TX
  • NPI 1285298877
  NPD (past)

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1861030504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 US HIGHWAY 271 N",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756445580",
            "telephone_number": "903-680-2600",
            "fax_number": "903-680-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 US HIGHWAY 271 N",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756445580",
            "telephone_number": "903-680-2600",
            "fax_number": "903-680-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED SHOP PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PHARMACIST/OWNER",
        "authorized_official_telephone_number": "903-680-2600"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148119",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Weston Luke Mayhan
• Adam Oliver McDaniel, DO
• Randal L McDaniel, DC
• Robert Bruce McManus, DO
• Med Shop Pharmacy Inc (The Med-Shop Pharmacy)
• Med Shop Total Care, Inc (Med Shop Medical Depot)
• Gina Michelle Monk
• Nexion Health at Gilmer Inc (Upshur Manor Nursing Home)
• Olivia Faith Nolan, NP
• Carrie Veitch Nolley, COTA

• Long Term Care Pharmacy in Gilmer, TX
• Providers in Gilmer, TX by specialty
• Long Term Care Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.