Organization Active NPI

GS Pharmacy LLC

Doing business as Gulf Shores Family Pharmacy

  • Community/Retail Pharmacy
  • Gulf Shores, AL
National Provider Identifier
1497015077
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113904 Issued in AL
Legal business name
GS PHARMACY LLC
Doing business as
Gulf Shores Family Pharmacy
Practice address
251 Clubhouse Dr
Gulf Shores, AL 36542-3415
Phone
(251) 968-3784
Fax
(251) 968-3785
NPI assigned
May 17, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Stacy DavisNPI 1902825813
Title
President
Phone
(251) 968-3784

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 113904 AL Primary

Addresses

Primary practice location

251 Clubhouse Dr
Gulf Shores, AL 36542-3415

Mailing address

251 Clubhouse Dr
Gulf Shores, AL 36542-3415
Phone (251) 968-3784

Other identifiers 1

IdentifierTypeStateIssuer
2135203OtherPK

Other names 1

  • Gulf Shores Family Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200901002312 AL Part B Supplier - Pharmacy 7113344409 Practice locations: Gulf Shores, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1497015077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 CLUBHOUSE DR",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423415",
            "telephone_number": "251-968-3784",
            "fax_number": "251-962-3779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 CLUBHOUSE DR",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365423415",
            "telephone_number": "251-968-3784",
            "fax_number": "251-968-3785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-17",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "251-968-3784"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2135203",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Shores Family Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulf Shores, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.