Active NPI
Coag Therapeutics South Inc.
- Home Infusion Therapy Pharmacy
- Mobile, AL
National Provider Identifier
1104984111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Therapy Pharmacy
- License
- 112884
- Legal business name
- COAG THERAPEUTICS SOUTH INC.
- Practice address
- 53 N Jackson St
Mobile, AL 36602-2809 - Phone
- (251) 432-2525
- NPI assigned
- Dec 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Mitchell
- Title
- President
- Phone
- (251) 432-2525
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Therapy Pharmacy | 3336H0001X | 112884 | AL | Primary |
| Specialty Pharmacy | 3336S0011X | 112884 | AL |
Addresses
Primary practice location
53 N Jackson St
Mobile, AL 36602-2809
Mailing address
53 N Jackson St
Mobile, AL 36602-2809
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1104984111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 N JACKSON ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366022809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "53 N JACKSON ST",
"city": "MOBILE",
"state": "AL",
"postal_code": "366022809",
"telephone_number": "251-432-2525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COAG THERAPEUTICS SOUTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-04",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "251-432-2525",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "AL",
"license": "112884",
"primary": true
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "AL",
"license": "112884",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.