Gillis Express Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

08452011 Issued in MS

Legal business name

GILLIS EXPRESS INC

Practice address

1015 Delaware Ave Ste a
McComb, MS 39648-3827

Phone

(601) 250-5516

Fax

(601) 250-5519

NPI assigned

Apr 20, 2010

Organization subpart

No

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

Authorized official

Name

Tom Assaf

Title

Pharmacist/President

Phone

(601) 684-2621

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Gillis Express Pharmacy Doing business as

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293580800000",
    "number": "1588980296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 DELAWARE AVE STE A",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483827",
            "telephone_number": "601-250-5516",
            "fax_number": "601-250-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 DELAWARE AVE STE A",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483827",
            "telephone_number": "601-250-5516",
            "fax_number": "601-250-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILLIS EXPRESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-12-29",
        "status": "A",
        "authorized_official_last_name": "ASSAF",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PHARMACIST/PRESIDENT",
        "authorized_official_telephone_number": "601-684-2621"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "08452011",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "2588018",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gillis Express Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Coeva Barnes Gatlin, FNP-BC
• General Vascular Surgery Specialist P a
• Melvin George
• Josie Gibson
• Gillis Drugstore
• Kathryn Ginn
• Christopher Clayton Givens, NURSE PRACTIONER
• Tera Elizabeth Givens, CNM
• Cynthia Louise Glasson, D.O.
• Tukiyah Godbolt

• All providers in McComb, MS
• Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2010; 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.