Active NPI
Ally Novel, PHARMD, MHSA, RPH
- Pharmacist
- Gulfport, MS
National Provider Identifier
1366319501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- E-102177
- Practice address
- 4500 Old Pass Rd
Gulfport, MS 39501-2585 - Phone
- (228) 351-9061
- Fax
- (228) 351-9062
- NPI assigned
- Oct 22, 2025
- Last updated
- Oct 22, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | E-102177 | MS | Primary |
Addresses
Primary practice location
4500 Old Pass Rd
Gulfport, MS 39501-2585
Mailing address
4500 Old Pass Rd
Gulfport, MS 39501-2585
Phone (228) 351-9061
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-102177 | MS | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1366319501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 OLD PASS RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012585",
"telephone_number": "228-351-9061",
"fax_number": "228-351-9062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 OLD PASS RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395012585",
"telephone_number": "228-351-9061",
"fax_number": "228-351-9062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOVEL",
"first_name": "ALLY",
"credential": "PHARMD, MHSA, RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-22",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MS",
"license": "E-102177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gulfport, MS
- North Gulfport Home Program, LLC (North Gulfport Home Program)
- North Plantation (Mindful Matters)
- David Allen Northington, D.O.
- Northland Hearing Centers, Inc. (Ascent Audiology & Hearing Center)
- Cory Wade Norton, PHARMD
- Katherine Nowell, D.P.T.
- NP on Call (NP Family Medical Clinic)
- Jillian Nunez
- Kapria Nunnally, CPSS
- Alicia Nye, RDH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.