Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIND CLEAN LLC
NPI 1538068499
Pharmacy in Hattiesburg, MS

Q: What is Mind Clean LLC's NPI number?

The NPI number for Mind Clean LLC is 1538068499. It was assigned to this organization in the NPPES registry on November 5, 2026.

Q: What is Mind Clean LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Q: When was this NPI record last updated?

The NPPES record for Mind Clean LLC was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 05, 2026

246 CYPRESS AVE, HATTIESBURG, MS 39401(651) 541-3264 Get Directions Write a Review

NPPES record added: November 5, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Mind Clean Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIND CLEAN LLC (NPI 1538068499) is a healthcare organization registered as a pharmacy in Hattiesburg, Mississippi and active in the NPI registry since November 2026. The organization lists Gerald Fairly, Sole Member, as its authorized official.

NPPES Registry Identity

NPI1538068499

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameMIND CLEAN LLC

Location Address246 CYPRESS AVEHattiesburg, MS 39401-5170

Mailing Address246 Cypress AveHattiesburg, MS 39401-5170

Phone(651) 541-3264

Organization SubpartNo

Authorized OfficialGerald FairlySole Member · (661) 541-3284

Enumeration DateNovember 5, 2026

NPPES CertifiedNovember 5, 2026

✔ NPI 1538068499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

246 CYPRESS AVE, Hattiesburg, MS 39401

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIND CLEAN LLC

Durable Medical Equipment & Medical Supplies

246 CYPRESS AVE
HATTIESBURG, MS 39401

Forrest County (661) 541-3264

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mind Clean LLC's NPI number?

The NPI number for Mind Clean LLC is 1538068499. It was assigned to this organization in the NPPES registry on November 5, 2026.

Where is Mind Clean LLC located?

Mind Clean LLC is located at 246 Cypress Ave, Hattiesburg, MS 39401. The listed phone number is (651) 541-3264.

What is Mind Clean LLC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Mind Clean LLC was last updated on November 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.