Mobile Infirmary Association

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MOBILE INFIRMARY ASSOCIATION

Doing business as

MIMC Rx4U at Saraland

Practice address

95 Shell St Ste 110
Saraland, AL 36571-2202

Phone

(251) 435-8042

Fax

(251) 435-8043

NPI assigned

Jan 23, 2020

Organization subpart

No

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

Authorized official

Name

Douglas Mark Nix

Title

President/Ceo

Phone

(251) 435-8044

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 2

• MIMC Rx4U at Saraland Doing business as
• Gulf Health Management Services, Inc. DBA RX4U at Saraland Former legal business name

Tax ID family

Gulf Health Management Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Mobile Infirmary Association

  dba iCare Discharge Pharmacy at MIMC

  • Community/Retail Pharmacy
  • Mobile, AL
  • NPI 1659724557
  NPD tax ID
• Mobile Infirmary Association

  dba MIMC Rx4U

  • Community/Retail Pharmacy
  • Mobile, AL
  • NPI 1750659447
  NPD tax ID

Locations

Practitioners 1

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

• Kimberlee Dawn Tunnell

  • Pharmacist
  • Saraland, AL
  • NPI 1356971980
  NPD

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1316577943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1468",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365261468",
            "telephone_number": "251-435-8042",
            "fax_number": "251-435-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SHELL ST STE 110",
            "city": "SARALAND",
            "state": "AL",
            "postal_code": "365712202",
            "telephone_number": "251-435-8042",
            "fax_number": "251-435-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE INFIRMARY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-23",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "251-435-8044"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246167",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIMC Rx4U at Saraland",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulf Health Management Services, Inc. DBA RX4U at Saraland",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mark A. McDaniel, MD
• Marissa La'Shae McManus, CD
• Michael E. Kellam DMD, PC
• Natrell Mitchell
• Chris Tyler Moberg II, PHARMD
• Mobile Pediatric Clinic LLC (Saraland Pediatric Clinic)
• Neighbors & Associates (Neighbors Home Medical)
• Courtney McDaniel Nix, CRNP
• North Mobile Counseling Associates, LLC
• North Mobile Dental Medicaid, LLC

• Community/Retail Pharmacy in Saraland, AL
• Providers in Saraland, 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 Nov 21, 2023; 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.