Organization Active NPI

MTH Group LLC

  • Community/Retail Pharmacy
  • Gulfport, MS
National Provider Identifier
1457180655
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
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

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Mr. Hoai Tien NguyenNPI 1023300415
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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.