Mino'S Pharmacy Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

MINO'S PHARMACY INC.

Practice address

13034 Shriners Blvd Ste a
Biloxi, MS 39532-8250

Phone

(228) 219-9888

NPI assigned

Apr 10, 2024

Organization subpart

No

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

Authorized official

Name

Casey Quinn Johnson MinoNPI 1073850707

Title

Owner

Phone

(228) 219-9888

Specialties & licenses 1

Addresses

Other names 1

• Woolmarket Pharmacy LTC Doing business as

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.

• Mino'S Pharmacy Inc.

  • Community/Retail Pharmacy
  • Biloxi, MS
  • NPI 1134780786
  NPD tax ID

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

• Casey Quinn Johnson Mino, PHARM.D

  • Pharmacist
  • Biloxi, MS
  • NPI 1073850707
  NPD Authorized official
• Douglass Degeorge, PHARMD

  • Pharmacist
  • Biloxi, MS
  • NPI 1861072126
  NPD

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

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712707200000",
    "number": "1144073008",
    "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": "228-219-9888"
        },
        {
            "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": "228-219-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINO'S PHARMACY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A",
        "authorized_official_last_name": "MINO",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "QUINN JOHNSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-219-9888"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woolmarket Pharmacy LTC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosalyn Patricia Milton, CNS
• Mind Body Soul Weight Reduction Clinic
• Mindful Co, LLC
• Casey Quinn Johnson Mino, PHARM.D
• Mino'S Pharmacy Inc.
• Vanessa Mirasol, DPM
• Mississippi Department Health
• Mississippi Doctors Group LLC
• Mississippi Drug and Alcohol Treatment Center LLC
• Mississippi Em-1 Medical Services, PC

• All providers in Biloxi, MS
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.