Organization Active NPI

Sartins Discount Drugs Inc

  • Long Term Care Pharmacy
  • Gulfport, MS
National Provider Identifier
1275143323
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
Legal business name
SARTINS DISCOUNT DRUGS INC
Practice address
4300 15TH St Ste 1
Gulfport, MS 39501-2524
Phone
(228) 864-3514
Fax
(228) 864-2402
NPI assigned
Aug 4, 2020
Last updated
Dec 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Alvin Craig Sartin, RPH
Title
Owner
Phone
(228) 864-3514

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X Primary

Addresses

Primary practice location

4300 15TH St Ste 1
Gulfport, MS 39501-2524

Mailing address

4300 15TH St Ste 1
Gulfport, MS 39501-2524
Phone (228) 864-3514

Other identifiers 1

IdentifierTypeStateIssuer
00034748MedicaidMS

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1275143323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 15TH ST STE 1",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012524",
            "telephone_number": "228-864-3514",
            "fax_number": "228-864-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 15TH ST STE 1",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012524",
            "telephone_number": "228-864-3514",
            "fax_number": "228-864-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARTINS DISCOUNT DRUGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-04",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "SARTIN",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-864-3514",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00034748",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.