Organization Active NPI

Kanif Group LLC

Doing business as Value Drug Mart

  • Community/Retail Pharmacy
  • Picayune, MS
National Provider Identifier
1255819678
Registry record updated Oct 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
171901.1 Issued in MS
Legal business name
KANIF GROUP LLC
Doing business as
Value Drug Mart
Practice address
1701 Highway 43 N
Picayune, MS 39466-2844
Phone
(769) 926-2740
Fax
(769) 926-2741
NPI assigned
Jul 30, 2018
Last updated
Oct 5, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
KANIF GROUP LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2018

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

Authorized official

Name
Mr. Kendal Blaine Silve, PHARM.DNPI 1982007480
Title
Manager/Member
Phone
(985) 774-1953

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 171901.1 MS Primary

Addresses

Primary practice location

1701 Highway 43 N
Picayune, MS 39466-2844

Mailing address

PO 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.

Locations

1701 Highway 43 N
Picayune, MS 39466
Phone (601) 799-5081

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1538697600000",
    "number": "1255819678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO 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": "1701 HIGHWAY 43 N",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394662844",
            "telephone_number": "769-926-2740",
            "fax_number": "769-926-2741"
        }
    ],
    "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": "2018-10-05",
        "status": "A",
        "authorized_official_last_name": "SILVE",
        "authorized_official_first_name": "KENDAL",
        "authorized_official_middle_name": "BLAINE",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "985-774-1953",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "171901.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Value Drug Mart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Picayune, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2018; 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.