Organization Active NPI

Sartin's Discount Drugs, Inc

Doing business as Sartin's Discount Drugs

  • Community/Retail Pharmacy
  • Gulfport, MS
National Provider Identifier
1750494670
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
0168101.1 Issued in MS
Legal business name
SARTIN'S DISCOUNT DRUGS, INC
Doing business as
Sartin's Discount Drugs
Practice address
4300 15TH St
Suite # 1
Gulfport, MS 39501-2524
Phone
(228) 864-3514
Fax
(228) 864-2402
NPI assigned
Aug 16, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Mr. Alvin Craig Sartin, R.PH.
Title
Owner
Phone
(228) 864-3514

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01681/01.1 MS
Pharmacy 333600000X 01681/01.1 MS
Community/Retail Pharmacy 3336C0003X 01681/01.1 MS
Community/Retail Pharmacy 3336C0003X 0168101.1 MS Primary

Addresses

Primary practice location

4300 15TH St
Suite # 1
Gulfport, MS 39501-2524

Mailing address

4300 15TH St
Suite # 1
Gulfport, MS 39501-2524
Phone (228) 864-3514

Other identifiers 3

IdentifierTypeStateIssuer
00034748MedicaidMS
2513186OtherMSNABP
00005016MedicaidMS

Other names 1

  • SARTIN'S DISCOUNT DRUGS Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210203000399 MS Part B Supplier - Pharmacy 5991826158 Practice locations: Gulfport, MS

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750494670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 15TH ST",
            "address_2": "SUITE # 1",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012524",
            "telephone_number": "228-864-3514",
            "fax_number": "228-864-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 15TH ST",
            "address_2": "SUITE # 1",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012524",
            "telephone_number": "228-864-3514",
            "fax_number": "228-864-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SARTIN'S DISCOUNT DRUGS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SARTIN",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-864-3514",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MS",
            "license": "01681/01.1",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "MS",
            "license": "01681/01.1",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "01681/01.1",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MS",
            "license": "0168101.1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00034748",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "2513186",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00005016",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARTIN'S DISCOUNT DRUGS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.