NPIMap

Organization Active NPI

Mobile Infirmary Association

Doing business as iCare Discharge Pharmacy at MIMC

  • Community/Retail Pharmacy
  • Mobile, AL
National Provider Identifier
1659724557
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
MOBILE INFIRMARY ASSOCIATION
Doing business as
iCare Discharge Pharmacy at MIMC
Practice address
5 Mobile Infirmary Cir
Mobile, AL 36607-3513
Phone
(251) 435-6337
Fax
(251) 435-6339
NPI assigned
Jul 15, 2016
Last updated
Nov 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Douglas Mark Nix
Title
President/Ceo
Phone
(251) 435-6337

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X 114632 AL
Community/Retail Pharmacy 3336C0003X NU Primary

Addresses

Primary practice location

5 Mobile Infirmary Cir
Mobile, AL 36607-3513

Mailing address

PO Box 1468
Daphne, AL 36526-1468
Phone (251) 435-6337

Other identifiers 2

IdentifierTypeStateIssuer
2162353OtherPK
191456MedicaidAL

Other names 2

  • iCare Discharge Pharmacy at MIMC Doing business as
  • Gulf Health Management Services, Inc. DBA IHRX4U Store#2 Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180830002230 AL Part B Supplier - Pharmacy 2769732429 Practice locations: Mobile, AL

National Provider Directory

National Provider Directory
Tax ID family
Gulf Health Management Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1468540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1659724557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1468",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365261468",
            "telephone_number": "251-435-6337",
            "fax_number": "251-435-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MOBILE INFIRMARY CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073513",
            "telephone_number": "251-435-6337",
            "fax_number": "251-435-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE INFIRMARY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-15",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "NIX",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "251-435-6337"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "AL",
            "license": "114632",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2162353",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "191456",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "iCare Discharge Pharmacy at MIMC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulf Health Management Services, Inc. DBA IHRX4U Store#2",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.