NPIMap

Organization Active NPI

Mino'S Pharmacy Inc.

  • Community/Retail Pharmacy
  • Biloxi, MS
National Provider Identifier
1134780786
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MINO'S PHARMACY INC.
Practice address
13034 Shriners Blvd Ste a
Biloxi, MS 39532-8250
Phone
(228) 392-5355
Fax
(228) 392-1620
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Dr. Casey Quinn Mino, PHARM.DNPI 1073850707
Title
Owner/President
Phone
(228) 219-9888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

13034 Shriners Blvd Ste a
Biloxi, MS 39532-8250

Mailing address

13034 Shriners Blvd Ste a
Biloxi, MS 39532-8250
Phone (228) 392-5355

Other names 1

  • Woolmarket Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190930000173 MS Part B Supplier - Pharmacy 1557691888 Practice locations: Biloxi, MS

National Provider Directory

National Provider Directory
Tax ID family
Mino'S 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.

Locations

13034 Shriners Blvd
#A
Biloxi, MS 39532
Phone (228) 219-9888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1134780786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "MINO'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "MINO",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "QUINN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "228-219-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woolmarket Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.