Eastern Shore Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

114739 Issued in AL

Legal business name

EASTERN SHORE PHARMACY, LLC

Doing business as

Eastern Shore Pharmacy

Practice address

20489 State Highway 181
Fairhope, AL 36532-4369

Phone

(251) 928-9073

Fax

(251) 928-9075

NPI assigned

Aug 25, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Steven Wesley Gifford, RPHNPI 1891123642

Title

Owner/Pharmacist

Phone

(205) 529-6654

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eastern Shore Pharmacy Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Steven Gifford, RPH

  • Pharmacist
  • Fairhope, AL
  • NPI 1891123642
  NPD Authorized official
• Sherlyn Daigrepont

  • Pharmacist
  • Fairhope, AL
  • NPI 1770133076
  NPD

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1376060798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20489 STATE HWY 181",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "36532",
            "telephone_number": "251-928-9073",
            "fax_number": "251-928-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20489 STATE HIGHWAY 181",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365324369",
            "telephone_number": "251-928-9073",
            "fax_number": "251-928-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SHORE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-25",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "GIFFORD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "WESLEY",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "205-529-6654",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "114739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209787",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Shore Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eastern Shore Medical Specialists, LLC
• Eastern Shore Mental Wellness Center
• Eastern Shore Oral, Facial and Implant Surgery Center, P.C.
• Eastern Shore Orthopaedic Center, P.C.
• Eastern Shore Orthotics & (Hanger Clinic)
• Easternshore OBGYN
• Stacy Lynette Edwards, MFT-I
• Walter Le Rroy Elam III
• Element Health, Inc.
• Element of Fun, LLC

• Community/Retail Pharmacy in Fairhope, AL
• Providers in Fairhope, 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 Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.