MTN Corporation

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

16702 Issued in TX

Legal business name

MTN CORPORATION

Practice address

12989 Bellaire Blvd
Ste 1a
Houston, TX 77072-5133

Phone

(281) 561-0101

Fax

(281) 561-0333

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Phuong Huu Nguyen, PHARMACIST

Title

Pic

Phone

(281) 561-0101

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• TN PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620432000000",
    "number": "1497790638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12989 BELLAIRE BLVD",
            "address_2": "STE 1A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725133",
            "telephone_number": "281-561-0101",
            "fax_number": "281-561-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12989 BELLAIRE BLVD",
            "address_2": "STE 1A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770725133",
            "telephone_number": "281-561-0101",
            "fax_number": "281-561-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-05-08",
        "certification_date": "2021-05-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "PHUONG",
        "authorized_official_middle_name": "HUU",
        "authorized_official_title_or_position": "PIC",
        "authorized_official_telephone_number": "281-561-0101",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "16702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144298",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2100811",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TN PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• MSZ Equipment Inc
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• MTL MD PLLC
• MTN Corporation
• Kathy Mu, DO
• Pu Mu, L.AC.
• Nathan Keola Muaina, D.M.D.
• Ernestine Ako Muanya, NP-C
• Rafia Mubarak Ali

• Community/Retail Pharmacy in Houston, TX
• Providers in Houston, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; 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.