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Mp Southpark Pharmacy LLC

Long Term Care Pharmacy in San Angelo, TX · enumerated 2006 · authorized official Micah Pratt, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1427081447

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Mp Southpark Pharmacy LLC
Other name <Unavail>
Practice address 29 S Chadb0urne, San Angelo, TX, 76903
Phone (325) 655-3146
Fax (325) 658-5891
Enumeration date Jul 10, 2006
Last updated in NPPES Sep 12, 2025

Taxonomy & classification

332B00000X Durable Medical Equipment & Medical Supplies Suppliers Secondary
3336C0003X Community/Retail Pharmacy Suppliers · License 31522 (TX) Secondary
3336C0004X Compounding Pharmacy Suppliers Secondary
3336L0003X Long Term Care Pharmacy Suppliers Primary

Authorized official

Name Micah Pratt
Title Owner
Phone (806) 548-0590

Other identifiers

Identifier Type State Issuer
31522 Other TX PHARMACY LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Mp Southpark Pharmacy LLC?
NPPES lists Micah Pratt (Owner) as the authorized official for this organization.
What is the NPI number for Mp Southpark Pharmacy LLC?
The NPI for Mp Southpark Pharmacy LLC is 1427081447, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-12.