Provider Demographics
NPI:1942446877
Name:MP CAPITAL PARTNERS LLC
Entity Type:Organization
Organization Name:MP CAPITAL PARTNERS LLC
Other - Org Name:LANSDOWNE PHARMACY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:
Authorized Official - First Name:MITESH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-461-7501
Mailing Address - Street 1:927 E BALTIMORE AVE STE J-K
Mailing Address - Street 2:
Mailing Address - City:LANSDOWNE
Mailing Address - State:PA
Mailing Address - Zip Code:19050-2749
Mailing Address - Country:US
Mailing Address - Phone:484-461-7501
Mailing Address - Fax:484-461-7503
Practice Address - Street 1:927 E BALTIMORE AVE # J-K
Practice Address - Street 2:
Practice Address - City:LANSDOWNE
Practice Address - State:PA
Practice Address - Zip Code:19050-2749
Practice Address - Country:US
Practice Address - Phone:484-461-7501
Practice Address - Fax:484-461-7503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-24
Last Update Date:2012-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X, 333600000X, 3336L0003X, 3336S0011X
PAPP4819013336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No333600000XSuppliersPharmacy
No3336L0003XSuppliersPharmacyLong Term Care Pharmacy
No3336S0011XSuppliersPharmacySpecialty Pharmacy
Provider Identifiers
StateIdentifier IDID TypeIssuer
3991684OtherNCPDP PROVIDER IDENTIFICATION NUMBER
PA1022541020001Medicaid