NPIMap

Organization Active NPI

Kanif Group LLC

  • Community/Retail Pharmacy
  • Gulfport, MS
National Provider Identifier
1124506498
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
171891.1 Issued in MS
Legal business name
KANIF GROUP LLC
Practice address
2709 25TH Avenue
Units C&D
Gulfport, MS 39501-4834
Phone
(228) 357-5353
Fax
(228) 357-5354
NPI assigned
Jul 30, 2018
Organization subpart
Yes
Parent organization
KANIF GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Ms. Nga Hoang Nguyen, PHARM.DNPI 1467855965
Title
Manager/Member
Phone
(228) 424-2086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 171891.1 MS Primary

Addresses

Primary practice location

2709 25TH Avenue
Units C&D
Gulfport, MS 39501-4834

Mailing address

P.O. Box 4445
Biloxi, MS 39535-4445
Phone (228) 207-0960

Other names 1

  • Value Drug Mart Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kanif Group LLC2 organizations share this tax ID, including this one
Part of
Kanif Group LLC

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1124506498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4445",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395354445",
            "telephone_number": "228-207-0960",
            "fax_number": "228-207-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 25TH AVENUE",
            "address_2": "UNITS C&D",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395014834",
            "telephone_number": "228-357-5353",
            "fax_number": "228-357-5354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANIF GROUP LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KANIF GROUP LLC",
        "enumeration_date": "2018-07-30",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "NGA",
        "authorized_official_middle_name": "HOANG",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "228-424-2086",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "171891.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 11, 2019; 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.