NPIMap

Organization Active NPI

Mobile Infirmary Association

  • Community/Retail Pharmacy
  • Mobile, AL
National Provider Identifier
1750659447
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
113835 Issued in AL
Legal business name
MOBILE INFIRMARY ASSOCIATION
Practice address
1 Mobile Infirmary Cir
Mobile, AL 36607-3522
Phone
(251) 435-7948
Fax
(251) 435-6514
NPI assigned
Dec 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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) 435-7948

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 113835 AL Primary

Addresses

Primary practice location

1 Mobile Infirmary Cir
Mobile, AL 36607-3522

Mailing address

PO Box 1468
Daphne, AL 36526-1468
Phone (251) 435-7948

Other identifiers 1

IdentifierTypeStateIssuer
166519MedicaidAL

Other names 2

  • MIMC Rx4U Doing business as
  • Gulf Health Management Services, Inc. Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Gulf Health Management Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1750659447",
    "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",
            "telephone_number": "251-435-7948",
            "fax_number": "251-435-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MOBILE INFIRMARY CIR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366073522",
            "telephone_number": "251-435-7948",
            "fax_number": "251-435-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE INFIRMARY ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-08",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "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": "251-435-7948"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "AL",
            "license": "113835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166519",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MIMC Rx4U",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulf Health Management Services, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.