Gulfport Discount Drugs

Primary specialty

PharmacistTaxonomy code 183500000X

Legal business name

GULFPORT DISCOUNT DRUGS

Practice address

1105 Broad Ave
Gulfport, MS 39501-2415

Phone

(228) 424-5579

NPI assigned

Nov 18, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Steve Larry Wilson Jr., PHARMD

Title

Pharmacist

Phone

(228) 424-5579

Specialties & licenses 2

Addresses

Other names 1

• Gulfport Discount Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1637193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1710644364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13326 MARYS WAY",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395406610",
            "telephone_number": "228-424-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 BROAD AVE",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012415",
            "telephone_number": "228-424-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFPORT DISCOUNT DRUGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-18",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_middle_name": "LARRY",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "228-424-5579",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulfport Discount Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.