Gulf Coast LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

7557 Issued in MS

Legal business name

GULF COAST LLC

Practice address

1965 Market St
Pascagoula, MS 39567-5710

Phone

(228) 471-4688

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Rhonda K Clark

Title

Pharmacist

Phone

(228) 471-4688

Specialties & licenses 1

Addresses

Other names 1

• Gulf Coast Sav-Rex Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1619429552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 MARKET ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395675710",
            "telephone_number": "228-471-4688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 MARKET ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395675710",
            "telephone_number": "228-471-4688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULF COAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "228-471-4688"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "7557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulf Coast Sav-Rex Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brad Joseph Greenfield, M.D.
• Gary H. Groff, M.D.
• Gina Marie Guillotte, NP
• Gulf Coast Audiology, Inc
• Gulf Coast Heart Institute
• Gulf Coast OB/GYN, PA
• Gulf Coast Physical Therapy Centers PA
• Gulf Coast Psychiatric Care
• Gulf Islands Dentistry, PLLC
• Yolanda A Gutierrez, M.D.

• 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 Oct 26, 2016; 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.