Market Place Pharmacy, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

14260/1.1 Issued in MS

Legal business name

MARKET PLACE PHARMACY, LLC

Doing business as

Gulf Coast Sav-Rex

Practice address

1965 Market Street
Pascagoula, MS 39567

Phone

(228) 471-4688

Fax

(228) 769-6425

NPI assigned

Mar 31, 2015

Last updated

Feb 6, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Ashbaker, PHARM.D.NPI 1578800629

Title

Owner/Pharmacist

Phone

(228) 217-4167

Specialties & licenses 1

Addresses

Other names 1

• Gulf Coast Sav-Rex Doing business as

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

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.

• Thomas Ashbaker

  • Pharmacist
  • Homewood, AL
  • NPI 1578800629
  NPD Authorized official

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

{
    "created_epoch": "1427760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1477948107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 MARKET STREET",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "39567",
            "telephone_number": "228-471-4688",
            "fax_number": "228-769-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 MARKET STREET",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "39567",
            "telephone_number": "228-471-4688",
            "fax_number": "228-769-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKET PLACE PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-31",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "ASHBAKER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "228-217-4167",
        "authorized_official_credential": "PHARM.D."
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "14260/1.1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Sav-Rex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Matthew Maia
• Lacondra Malcom, PMHNP
• Kyrissa Malley, RD
• Christopher Frank Marcell, MSW
• Annie Marhula, RDN, LD
• Fahad Marmarchi, DO
• Lauren Martin, OD
• Kelly Susanne Mask, N.P.
• Lashonda Trennell Mathis, MSW
• Karla McCarthy, LCSW

• Community/Retail Pharmacy in Pascagoula, MS
• Providers in Pascagoula, MS by specialty
• Community/Retail Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.