Organization Active NPI

Medtech, Inc

  • Pharmacy
  • Corinth, MS
National Provider Identifier
1295738912
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
05774/02.0 Issued in MS
Legal business name
MEDTECH, INC
Practice address
207 N Harper Rd
Corinth, MS 38834-5271
Phone
(662) 665-9800
NPI assigned
May 27, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Donald O. King III
Title
Owner
Phone
(662) 665-9800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X 05685/11.1 MS
Pharmacy 333600000X 05774/02.0 MS Primary

Addresses

Primary practice location

207 N Harper Rd
Corinth, MS 38834-5271

Mailing address

207 N Harper Rd
Corinth, MS 38834-5271
Phone (662) 665-9800

Other identifiers 1

IdentifierTypeStateIssuer
00441018MedicaidMS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295738912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N HARPER RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345271",
            "telephone_number": "662-665-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 N HARPER RD",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388345271",
            "telephone_number": "662-665-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDTECH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-665-9800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "MS",
            "license": "05685/11.1",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "05774/02.0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00441018",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corinth, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.