Organization Active NPI

SGSP, Inc

  • Community/Retail Pharmacy
  • Gulfport, MS
National Provider Identifier
1295397248
Registry record updated Jul 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
SGSP, INC
Practice address
12372 Highway 49
Gulfport, MS 39503-2741
Phone
(228) 234-6236
Fax
(228) 831-9951
NPI assigned
Jun 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2019

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

Authorized official

Name
Katherine Summer Gallotte
Title
President
Phone
(228) 234-6236

Specialties & licenses 1

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

Addresses

Primary practice location

12372 Highway 49
Gulfport, MS 39503-2741

Mailing address

20117 Box CV
Saucier, MS 39574-8702
Phone (228) 234-6236

Other names 1

  • LYMAN PHARMACY 49 Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1561852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562198400000",
    "number": "1295397248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20117 BOX CV",
            "city": "SAUCIER",
            "state": "MS",
            "postal_code": "395748702",
            "telephone_number": "228-234-6236",
            "fax_number": "228-831-9951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12372 HIGHWAY 49",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032741",
            "telephone_number": "228-234-6236",
            "fax_number": "228-831-9951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGSP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-30",
        "last_updated": "2019-07-04",
        "status": "A",
        "authorized_official_last_name": "GALLOTTE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "SUMMER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "228-234-6236"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LYMAN PHARMACY 49",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LYMAN PHARMACY 49",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 4, 2019; 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.