Active NPI
Sartin's Discount Drugs, Inc
Doing business as Sartin's Discount Drugs
- Community/Retail Pharmacy
- Gulfport, MS
National Provider Identifier
1750494670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 0168101.1
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00034748 | Medicaid | MS | |
| 2513186 | Other | MS | NABP |
| 00005016 | Medicaid | MS |
Other names 1
- SARTIN'S DISCOUNT DRUGS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210203000399 | MS | Part B Supplier - Pharmacy | 5991826158 | Practice locations: Gulfport, MS |
National Provider Directory
National Provider DirectoryMember of 2
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Sartins Vital Care
- Durable Medical Equipment & Medical Supplies
- Gulfport, MS
- NPI 1932133196
Member Of
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.
-
- Pharmacist
- Gulfport, MS
- NPI 1770178238
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
- Joelle Sangiorgi
- Lilian Iona Santos, LCPC ATR
- April Deanna Sanzin, NP
- Steven B Sapida, D.O.
- Javier Sardin, IDD WAIVER SERVICES
- Sartin's Vital Care Inc (Sartin's Vital Care)
- Sartin's Vital Care Inc (Sartin's Vital Care)
- Sartin's Vital Care Inc (Sartin's Vital Care)
- Sartin's Vital Care Inc (Sartin's Vital Care)
- Sartin's Vital Care Inc (Sartin's Vital Care)
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.