NPIMap

Organization Active NPI

Gulf Shores Pharmacy, Inc.

  • Pharmacist
  • Gulf Shores, AL
National Provider Identifier
1710101423
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
12413 Issued in AL
Legal business name
GULF SHORES PHARMACY, INC.
Practice address
251 Clubhouse Dr
Gulf Shores, AL 36542-3415
Phone
(251) 968-3784
Fax
(251) 968-3785
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. David Jay Rothbardt
Title
Owner
Phone
(251) 968-3784

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X 12413 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

National Provider Directory

National Provider Directory

Locations

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

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710101423",
    "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": "251-968-3785"
        },
        {
            "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": "GULF SHORES PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROTHBARDT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "251-968-3784",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "12413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.