Active NPI
Casey Quinn Johnson Mino, PHARM.D
- Pharmacist
- Biloxi, MS
National Provider Identifier
1073850707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-010588
- Practice address
- 13034 Shriners Blvd Ste a
Biloxi, MS 39532-8250 - Phone
- (228) 392-5355
- Fax
- (228) 392-1620
- NPI assigned
- Jan 15, 2013
- Last updated
- Aug 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 1890 | AK | |
| Pharmacist | 183500000X | E-010588 | MS | Primary |
Addresses
Primary practice location
13034 Shriners Blvd Ste a
Biloxi, MS 39532-8250
Mailing address
12749 Middle Bay Dr
Kodiak, AK 99615-9420
Phone (228) 219-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1890 | AK | MD | Pharmacist |
| E-010588 | MS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mino's Pharmacy Inc. | Current | Accepting new patients | |
| Mino's Pharmacy Inc. | Current | Accepting new patients |
Locations
13034 Shriners Blvd
#A
Biloxi, MS 39532
Phone (228) 219-9888
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564963200000",
"number": "1073850707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12749 MIDDLE BAY DR",
"city": "KODIAK",
"state": "AK",
"postal_code": "996159420",
"telephone_number": "228-219-9888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13034 SHRINERS BLVD STE A",
"city": "BILOXI",
"state": "MS",
"postal_code": "395328250",
"telephone_number": "228-392-5355",
"fax_number": "228-392-1620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINO",
"first_name": "CASEY",
"middle_name": "QUINN JOHNSON",
"credential": "PHARM.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2019-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "1890",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-010588",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Biloxi, MS
- Selina-Quinnette Milligan
- Regina Clare Mills, MD
- Rosalyn Patricia Milton, CNS
- Mind Body Soul Weight Reduction Clinic
- Mindful Co, LLC
- Mino's Pharmacy Inc. (Woolmarket Pharmacy)
- Mino's Pharmacy Inc. (Woolmarket Pharmacy LTC)
- Vanessa Mirasol, DPM
- Mississippi Department Health
- Mississippi Doctors Group LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.