Mobile Infirmary Association

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

Legal business name

MOBILE INFIRMARY ASSOCIATION

Practice address

7101 US Highway 90
Building B, Suite B100
Daphne, AL 36526-9512

Phone

(251) 625-8445

NPI assigned

Dec 9, 2022

Organization subpart

No

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) 625-8454

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 2

• MIMC Specialty and Home Infusion Pharmacy Doing business as
• Gulf Health Management Services, Inc. Former legal business name

Locations

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1710698717",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 US HIGHWAY 90",
            "address_2": "BUILDING B, SUITE B100",
            "city": "DAPHNE",
            "state": "AL",
            "postal_code": "365269512",
            "telephone_number": "251-625-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE INFIRMARY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-09",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "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": "251-625-8454"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "302591",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIMC Specialty and Home Infusion Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulf Health Management Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Regan McCall Miller
• Tara L Miller, ARNP
• Michelle Mills, RN
• Tiffany Nicole Mitchem, PHARMD
• Mobile Care-a-Vein LLC.
• Julie Ann Mohler, MS, OTR/L
• Alyssa Moody, ALC
• Joanna Moody, LICSW
• Elizabethann Moore, PH.D.
• Morris Pediatric Counseling & Counsultation, LLC

• Specialty Pharmacy in Daphne, AL
• Providers in Daphne, AL by specialty
• Specialty Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; 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.