Individual provider Active NPI

Hien Tang

  • Pharmacist
  • Hattiesburg, MS
National Provider Identifier
1629673033
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
E-13951 Issued in MS
Practice address
2507 Hardy St
Hattiesburg, MS 39401-5914
Phone
(601) 544-2545
Fax
(601) 544-2546
NPI assigned
Dec 2, 2020
Last updated
Dec 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X E-13951 MS Primary

Addresses

Primary practice location

2507 Hardy St
Hattiesburg, MS 39401-5914

Mailing address

2507 Hardy St
Hattiesburg, MS 39401-5914
Phone (601) 544-2545

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rx03124@stores.cvs.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
E-13951MSMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi CVS Pharmacy LLC PastSince Dec 6, 2020 Accepting new patients
Mississippi CVS Pharmacy LLC PastSince Dec 6, 2020 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1629673033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015914",
            "telephone_number": "601-544-2545",
            "fax_number": "601-544-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 HARDY ST",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015914",
            "telephone_number": "601-544-2545",
            "fax_number": "601-544-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "HIEN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "E-13951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rx03124@stores.cvs.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2507 Hardy St",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394015914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.