Gatlins Pharmacy Inc

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

Legal business name

GATLINS PHARMACY INC

Doing business as

Gatlin's Pharmacy Inc LTC

Practice address

18 First Ave
Tishomingo, MS 38873-8441

Phone

(662) 438-6605

Fax

(662) 438-6680

NPI assigned

Mar 21, 2024

Last updated

Mar 21, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jesse Bart DoranNPI 1447738299

Title

Owner

Phone

(662) 438-6605

Specialties & licenses 1

Addresses

Other names 1

• GATLIN'S PHARMACY INC LTC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Gatlins Pharmacy Inc2 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.

• Gatlins Pharmacy Inc

  dba Gatlins Pharmacy

  • Community/Retail Pharmacy
  • Tishomingo, MS
  • NPI 1518058288
  NPD tax ID

Locations

Practitioners 4

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.

• Jesse Bart Doran

  • Pharmacist
  • Tishomingo, MS
  • NPI 1447738299
  NPD Authorized official
• Christopher Bishop, PHARMD

  • Pharmacist
  • Tishomingo, MS
  • NPI 1003431610
  NPD
• Robert Galloway

  • Pharmacist
  • Tishomingo, MS
  • NPI 1336627181
  NPD (past)
• Stanley Page

  • Pharmacist
  • Tishomingo, MS
  • NPI 1295213056
  NPD (past)

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

{
    "created_epoch": "1710979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1013777317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "TISHOMINGO",
            "state": "MS",
            "postal_code": "388730369",
            "telephone_number": "662-438-6605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FIRST AVE",
            "city": "TISHOMINGO",
            "state": "MS",
            "postal_code": "388738441",
            "telephone_number": "662-438-6605",
            "fax_number": "662-438-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATLINS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-21",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "DORAN",
        "authorized_official_first_name": "JESSE",
        "authorized_official_middle_name": "BART",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-438-6605"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GATLIN'S PHARMACY INC LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher Bishop, PHARMD
• William Austin Carmack
• Jesse Bart Doran
• Jenny Katherine Farris, FNP-C
• Robert Galloway
• Gatlins Pharmacy Inc (Gatlins Pharmacy)
• Samantha Joanne Justice, NP
• Harrison Christopher Moss, DC
• North Mississippi Primary Health Care, Inc. (Tishomingo Health Care Associates)
• Stanley Page

• Long Term Care Pharmacy in Tishomingo, MS
• Providers in Tishomingo, MS by specialty
• Long Term Care Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.