NPIMap

Organization Active NPI

MPN3 Pharmacy MGT LLC

  • Community/Retail Pharmacy
  • Cedar Park, TX
National Provider Identifier
1871211268
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MPN3 PHARMACY MGT LLC
Doing business as
Green Rx
Practice address
1411 Medical Pkwy Ste 101
Cedar Park, TX 78613-2696
Phone
(512) 399-5958
Fax
(512) 399-5953
NPI assigned
Aug 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Mina Shah
Title
Officer
Phone
(732) 318-9628

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

1411 Medical Pkwy Ste 101
Cedar Park, TX 78613-2696

Mailing address

1 Jean CT
Somerset, NJ 08873-7337
Phone (732) 318-9628

Other names 1

  • Green Rx Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Micromerchant Direct

National Provider Directory

National Provider Directory

Locations

1411 Medical Pkwy
Ste 101
Cedar Park, TX 78613
Phone (512) 399-5958

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1871211268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JEAN CT",
            "city": "SOMERSET",
            "state": "NJ",
            "postal_code": "088737337",
            "telephone_number": "732-318-9628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 MEDICAL PKWY STE 101",
            "city": "CEDAR PARK",
            "state": "TX",
            "postal_code": "786132696",
            "telephone_number": "512-399-5958",
            "fax_number": "512-399-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPN3 PHARMACY MGT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "MINA",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "732-318-9628"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Micromerchant",
            "affiliation": "N",
            "endpointDescription": "PrimeRx",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1411 Medical Pkwy Ste 101",
            "city": "Cedar Park",
            "state": "TX",
            "country_code": "US",
            "postal_code": "786132696",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Green Rx",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Rx",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedar Park, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.