P Praxis·MD
● Active Type 2 · Organization

Mp Southpark Pharmacy Llc

Pharmacy·San Angelo, TX· NPI 1427081447 · Enumerated 2006 · 19 years on NPI
Mp Southpark Pharmacy Llc is 1 of 589 pharmacy organizations in Texas.
NPI age
19 years
Enumerated 2006-07-10
Primary specialty
Pharmacy
Plus 3 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Pratt
Owner
Last NPPES update
2025-09-12
Source: monthly bulk 2026-05

How this organization compares

Across 589 active pharmacy providers in Texas.

NPI age
19 years
↑ 14 yr above median
Practice locations
1
0 secondary on file
Subspecialties
3
In the 33% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-07Enumerated in NPPES
2006 2026

Where they practice

Primary practice location
29 S Chadb0urne
San Angelo, TX 769035891
📞 3256553146fax 3256585891
Mailing address
29 S Chadb0urne
San Angelo, TX 769035891
📞 3256553146fax 3256585891

Authorized official

Micah Pratt, PHARMD
Owner
📞 8065480590

Specialties

  • Pharmacy Primary
    A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities, hospice, assisted living facilities, group homes, and other...
    taxonomy 3336L0003X
  • Durable Medical Equipment & Medical Supplies
    A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
    taxonomy 332B00000X
  • Pharmacy
    A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the...
    TX license #31522 taxonomy 3336C0003X
  • Pharmacy
    A pharmacy that specializes in the preparation of components into a drug preparation as the result of a Practitioner's Prescription Drug Order or initiative based on the Practitioner/Patient/Pharmacist relationship in the course of...
    taxonomy 3336C0004X

Identifiers

TypeValueNotes
01 (TX) 31522 PHARMACY LICENSE

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Myers Drug
    Type code 3 recorded 2017-10-10

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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