Organization
MED SHOP PHARMACY INC
Active
Organization
MED SHOP PHARMACY INC
Active
Other names
THE MED-SHOP PHARMACY, The Med Shop Pharmacy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK WAYNE POWERS RPH (PHARMACIST)
(903) 680-2600
Entity
Organization
Contact information
Practice address
825 US HIGHWAY 271 N, GILMER, TX 75644-5580
(903) 680-2600
(903) 680-2605
Mailing address
825 US HIGHWAY 271 N, GILMER, TX 75644-5580
(903) 680-2600
(903) 680-2605
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
23042
TX
3336C0004X
Compounding Pharmacy
—
—
3336L0003X
Long Term Care Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
148119
—
TX
01
—
2096845
PK
—
Enumeration date
06/20/2006
Last updated
10/29/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up