Active NPI
Beach Pharmacy Inc
Doing business as Beach Pharmacy
- Long Term Care Pharmacy
- Gulfport, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- BEACH PHARMACY INC
- Doing business as
- Beach Pharmacy
- Practice address
- 1110 Cowan Rd
Gulfport, MS 39507-3441 - Phone
- (228) 896-7070
- Fax
- (228) 896-2843
- NPI assigned
- Sep 5, 2024
- Last updated
- Sep 5, 2024
- 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
- Dr. Jason Krohn, PHARMD
- Title
- President
- Phone
- (228) 896-7070
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1110 Cowan Rd
Gulfport, MS 39507-3441
Mailing address
1110 Cowan Rd
Gulfport, MS 39507-3441
Phone (228) 896-7070
Other names 1
- Beach Pharmacy
National Provider Directory
National Provider Directory- Tax ID family
- Beach Pharmacy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in 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.
-
- Pharmacist
- Gulfport, MS
- NPI 1598674020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1725494400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1725494400000",
"number": "1780419028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1110 COWAN RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073441",
"telephone_number": "228-896-7070",
"fax_number": "228-896-2843"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 COWAN RD",
"city": "GULFPORT",
"state": "MS",
"postal_code": "395073441",
"telephone_number": "228-896-7070",
"fax_number": "228-896-2843"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEACH PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-05",
"last_updated": "2024-09-05",
"certification_date": "2024-08-30",
"status": "A",
"authorized_official_last_name": "KROHN",
"authorized_official_first_name": "JASON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "228-896-7070",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHARMD"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Beach Pharmacy",
"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 Sep 5, 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.