Active NPI
Burnham's Vital Care LLC
- Home Infusion Agency
- Moss Point, MS
National Provider Identifier
1174693105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- Legal business name
- BURNHAM'S VITAL CARE LLC
- Practice address
- 4931 Main St # B
Moss Point, MS 39563-2746 - Phone
- (228) 474-4663
- Fax
- (228) 474-7660
- NPI assigned
- Nov 8, 2006
- Last updated
- Aug 6, 2026
- 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
- Alvin Craig Sartin
- Title
- President
- Phone
- (228) 474-4663
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X | 05113021 | MS | |
| Oxygen Equipment & Supplies (DME) | 332BX2000X | 05113021 | MS | |
| Pharmacy | 333600000X | 05113021 | MS | |
| Community/Retail Pharmacy | 3336C0003X | 05113021 | MS | |
| Home Infusion Therapy Pharmacy | 3336H0001X | 05113021 | MS | |
| Mail Order Pharmacy | 3336M0002X | 05113021 | MS | |
| Specialty Pharmacy | 3336S0011X | 05113021 | MS |
Addresses
Primary practice location
4931 Main St # B
Moss Point, MS 39563-2746
Mailing address
4931 Main St # B
Moss Point, MS 39563-2746
Phone (228) 474-4663
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000030050 | Other | MS | BCBS OF MS |
| 02577580 | Medicaid | MS | |
| 1268160 | Medicaid | MS | |
| 2520840 | Other | NABP | |
| 611333100 | Other | MS | OWCP - DME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080512000171 | MS | Part B Supplier - Pharmacy | 1355420670 | Practice locations: Moss Point, MS |
| O20100930005675 | MS | DME Supplier - Pharmacy | 1355420670 | Practice locations: Moss Point, MS |
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Sartin's Discount Drugs
- Community/Retail Pharmacy
- Gulfport, MS
- NPI 1750494670
Member Of
Locations
4931 Main St
Ste B
Moss Point, MS 39563
Phone (228) 474-4663
4931 Main St
Unit B
Moss Point, MS 39563
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Speech-Language Pathologist
- Mobile, AL
- NPI 1255029302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785974400000",
"number": "1174693105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4931 MAIN ST # B",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395632746",
"telephone_number": "228-474-4663",
"fax_number": "228-474-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4931 MAIN ST # B",
"city": "MOSS POINT",
"state": "MS",
"postal_code": "395632746",
"telephone_number": "228-474-4663",
"fax_number": "228-474-7660"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURNHAM'S VITAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-08",
"last_updated": "2026-08-06",
"certification_date": "2026-08-06",
"status": "A",
"authorized_official_last_name": "SARTIN",
"authorized_official_first_name": "ALVIN",
"authorized_official_middle_name": "CRAIG",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "228-474-4663"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "MS",
"license": "05113021",
"primary": false
},
{
"code": "332BX2000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
"state": "MS",
"license": "05113021",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "MS",
"license": "05113021",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "MS",
"license": "05113021",
"primary": false
},
{
"code": "3336H0001X",
"taxonomy_group": "",
"desc": "Pharmacy, Home Infusion Therapy Pharmacy",
"state": "MS",
"license": "05113021",
"primary": false
},
{
"code": "3336M0002X",
"taxonomy_group": "",
"desc": "Pharmacy, Mail Order Pharmacy",
"state": "MS",
"license": "05113021",
"primary": false
},
{
"code": "3336S0011X",
"taxonomy_group": "",
"desc": "Pharmacy, Specialty Pharmacy",
"state": "MS",
"license": "05113021",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MS",
"identifier": "000030050",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02577580",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1268160",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "2520840",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP - DME",
"identifier": "611333100",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moss Point, MS
- Lauren Quinn Brown I, PTA
- Burnham McKinney Pharmacies Inc (Burnhams Vital Care)
- Burnham McKinney Pharmacies Inc
- Burnham-McKinney Pharmacies Inc
- Burnham-McKinney Pharmacies, Inc. #2
- Burnham's Vital Care LLC (Burnhams Vital Care)
- Manette K Camarata, LCSW
- Whitney Caples, FNP-C
- Mika Alyece Catchot
- Coast Pediatrics
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; 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.