MTN Pharmacists Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MTN PHARMACISTS INC

Doing business as

Envy Pharmacy

Practice address

5 Journey Ste 140a
Aliso Viejo, CA 92656-5336

Phone

(949) 669-8355

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Minh Tri Van NguyenNPI 1043175110

Title

President

Phone

(504) 723-1978

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Envy Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Minh Tri Nguyen

  • Pharmacist
  • Aliso Viejo, CA
  • NPI 1043175110
  NPD Authorized official

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1750477980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 JOURNEY",
            "address_2": "140 A",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565336",
            "telephone_number": "949-669-8355",
            "fax_number": "949-446-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 JOURNEY STE 140A",
            "city": "ALISO VIEJO",
            "state": "CA",
            "postal_code": "926565336",
            "telephone_number": "949-669-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTN PHARMACISTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-09-09",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "MINH TRI",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-723-1978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2132647",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750477980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Envy Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Moni M. Mosharaf, D.D.S.
• Michael Mostofi, D.D.S.
• Lauren Mott, ATC
• Kelly Lynn Mountain, PA-C
• Rosemary Moya
• MTN Pharmacists Inc (Envy Pharmacy)
• Roxanna Munoz
• Robert F. Murray, DDS
• Nicole Cortney Murzen, MS, ATC
• Angela Myles, MASSAGE THERAPIST

• Community/Retail Pharmacy in Aliso Viejo, CA
• Providers in Aliso Viejo, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.