NPIMap

Organization Active NPI

Memorial Hospital of Gulfport

Doing business as MHG Employee Pharmacy

  • Pharmacy
  • Gulfport, MS
National Provider Identifier
1790818532
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
MEMORIAL HOSPITAL OF GULFPORT
Doing business as
MHG Employee Pharmacy
Practice address
4500 13TH St
Gulfport, MS 39501-2515
Phone
(228) 865-3525
Fax
(228) 865-3618
NPI assigned
Mar 13, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Albert Joseph Kwitzky, PHARMACIST
Title
Employee Pharmacy Coordinator
Phone
(228) 865-3045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

4500 13TH St
Gulfport, MS 39501-2515

Mailing address

PO Box 1810
4500 13TH St
Gulfport, MS 39502-1810
Phone (228) 865-3525

Other identifiers 2

IdentifierTypeStateIssuer
0155003.1OtherMSSTATE LICENSE
20027MedicaidMS

Other names 1

  • MHG EMPLOYEE PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Memorial Hospital21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1790818532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1810",
            "address_2": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395021810",
            "telephone_number": "228-865-3525",
            "fax_number": "228-865-3618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 13TH ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012515",
            "telephone_number": "228-865-3525",
            "fax_number": "228-865-3618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEMORIAL HOSPITAL OF GULFPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "KWITZKY",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "EMPLOYEE PHARMACY COORDINATOR",
        "authorized_official_telephone_number": "228-865-3045",
        "authorized_official_credential": "PHARMACIST"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0155003.1",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20027",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHG EMPLOYEE PHARMACY",
            "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 Mar 7, 2023; 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.