Active NPI
MTH Group LLC
- Community/Retail Pharmacy
- Gulfport, MS
National Provider Identifier
1457180655
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- MTH GROUP LLC
- Doing business as
- Value Drug Mart
- Practice address
- 2709 25TH Ave # Unitsc&D
Gulfport, MS 39501-4834 - Phone
- (228) 357-5353
- Fax
- (228) 357-5354
- NPI assigned
- Jul 29, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Hoai Tien Nguyen
- Title
- Manager
- Phone
- (228) 424-0728
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
2709 25TH Ave # Unitsc&D
Gulfport, MS 39501-4834
Mailing address
2709 25TH Ave # Unitsc&D
Gulfport, MS 39501-4834
Phone (228) 357-5353
Other names 1
- Value Drug Mart
National Provider Directory
National Provider DirectoryLocations
2709 25th Ave
Gulfport, MS 39501
Phone (228) 209-4104
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Diberville, MS
- NPI 1023300415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1722211200000",
"number": "1457180655",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2709 25TH AVE # UNITSC&D",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395014834",
"telephone_number": "228-357-5353",
"fax_number": "228-357-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2709 25TH AVE # UNITSC&D",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395014834",
"telephone_number": "228-357-5353",
"fax_number": "228-357-5354"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MTH GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-28",
"status": "A",
"authorized_official_last_name": "NGUYEN",
"authorized_official_first_name": "HOAI",
"authorized_official_middle_name": "TIEN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "228-424-0728",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": null,
"license": null,
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"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 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.