Gulf Coast Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113142 Issued in AL

Legal business name

GULF COAST PHARMACY LLC

Practice address

515 Azalea Rd
Mobile, AL 36609-1501

Phone

(251) 342-5519

NPI assigned

May 19, 2011

Organization subpart

No

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

Authorized official

Name

David Bush

Title

Pharmacist

Phone

(251) 404-3343

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• Gulf Coast Pharmacy, LLC Doing business as

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1184917429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 AZALEA RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091501",
            "telephone_number": "251-342-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 AZALEA RD",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366091501",
            "telephone_number": "251-342-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "BUSH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "251-404-3343"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113142",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336N0007X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Nuclear Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "0137162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Pharmacy, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gulf Coast Mens Clinic
• Gulf Coast Optometry
• Gulf Coast Pain Consultants LLC
• Gulf Coast Patient Care Network, Inc
• Gulf Coast Pediatrics, LLC
• Gulf Coast Psychiatry LLC
• Gulf Coast Rehab Equipment Inc
• Gulf Coast Sleep Professionals of Alabama
• Gulf Coast Supply LLC
• Gulf Coast Surgical Partners LLC

• Community/Retail Pharmacy in Mobile, AL
• Providers in Mobile, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2011; 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.