NPIMap

Organization Active NPI

Medical Arts Pharmacy

  • Community/Retail Pharmacy
  • Biloxi, MS
National Provider Identifier
1750327136
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
00424011 Issued in MS
Legal business name
MEDICAL ARTS PHARMACY
Doing business as
Medical Arts Pharmacy
Practice address
120 Caillavet St
Biloxi, MS 39530-4102
Phone
(228) 432-7071
Fax
(228) 432-7910
NPI assigned
Jun 22, 2006
Last updated
Feb 28, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Authorized official

Name
George PitaloNPI 1659667061
Title
Owner
Phone
(228) 432-7071

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X NU
Community/Retail Pharmacy 3336C0003X 00424011 MS Primary

Addresses

Primary practice location

120 Caillavet St
Biloxi, MS 39530-4102

Mailing address

120 Caillavet St
Biloxi, MS 39530-4102
Phone (228) 432-7071

Other identifiers 2

IdentifierTypeStateIssuer
2050617OtherPK
0033103MedicaidMS

Other names 1

  • MEDICAL ARTS PHARMACY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Arts Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1750327136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CAILLAVET ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304102",
            "telephone_number": "228-432-7071",
            "fax_number": "228-432-7910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CAILLAVET ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395304102",
            "telephone_number": "228-432-7071",
            "fax_number": "228-432-7910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL ARTS PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "PITALO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-432-7071"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "00424011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2050617",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033103",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL ARTS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.