Organization Active NPI

Hi-Tech Healthcare Inc.

  • Pharmacy
  • Gulfport, MS
National Provider Identifier
1003826561
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
HI-TECH HEALTHCARE INC.
Practice address
2318 E Pass Rd
Suite a
Gulfport, MS 39507-3805
Phone
(800) 449-6785
NPI assigned
Aug 8, 2006
Last updated
Jun 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Mrs. Gary Todd Tyson, BS,RRT
Title
President
Phone
(770) 449-6785

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU
Pharmacy 333600000X NU Primary

Addresses

Primary practice location

2318 E Pass Rd
Suite a
Gulfport, MS 39507-3805

Mailing address

1805 Shackleford CT
Suite 100
Norcross, GA 30093-2924
Phone (770) 449-6785

Other identifiers 1

IdentifierTypeStateIssuer
00428678FMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Hi-Tech Healthcare Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2318 E Pass Rd
#A
Gulfport, MS 39507
Phone (800) 449-6785

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1003826561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 SHACKLEFORD CT",
            "address_2": "SUITE 100",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300932924",
            "telephone_number": "770-449-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 E PASS RD",
            "address_2": "SUITE A",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395073805",
            "telephone_number": "800-449-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI-TECH HEALTHCARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-449-6785",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BS,RRT"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00428678F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.