MTM Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

31964 Issued in TX

Legal business name

MTM PHARMACY LLC

Doing business as

MTM Pharmacy

Practice address

18918 FM 529 Rd Ste 5
Cypress, TX 77433-5349

Phone

(281) 656-8671

Fax

(832) 683-4159

NPI assigned

Apr 16, 2018

Organization subpart

No

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

Authorized official

Name

Minh Mguyen

Title

Owner

Phone

(504) 858-5733

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• MTM Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

MTM Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• MTM Pharmacy, LLC

  • Community/Retail Pharmacy
  • Cypress, TX
  • NPI 1811405210
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Minh Tam Nguyen

  • Pharmacist
  • Lafayette, LA
  • NPI 1538440540
  NPD

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758240000000",
    "number": "1952898934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18918 FM 529 RD STE 5",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335349",
            "telephone_number": "281-656-8671",
            "fax_number": "832-683-4159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18918 FM 529 RD STE 5",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335349",
            "telephone_number": "281-656-8671",
            "fax_number": "832-683-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTM PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-16",
        "last_updated": "2025-09-19",
        "certification_date": "2021-12-16",
        "status": "A",
        "authorized_official_last_name": "MGUYEN",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-858-5733"
    },
    "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": "31964",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149823",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2175704",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MTM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MTM Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Mouton, PA-C
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• Jake Moye, NP
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• MTM Pharmacy, LLC
• Eniola Mudasiru Dawodu, MD
• Raafia Batool Muhammad, MD, MPH
• Mehrukh Nonesupplied Mujeeb, M.D.
• Sura Mujhid, DDS

• Community/Retail Pharmacy in Cypress, TX
• Providers in Cypress, 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 Sep 19, 2025; 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.