Douglass Degeorge, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

IE-8630 Issued in MS

Practice address

13034 Shriners Blvd Ste a
Biloxi, MS 39532-8250

Phone

(228) 392-5355

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mino's Pharmacy Inc.

  dba Woolmarket Pharmacy

  • Community/Retail Pharmacy
  • Biloxi, MS
  • NPI 1134780786
  NPD
• Mino's Pharmacy Inc.

  dba Woolmarket Pharmacy LTC

  • Pharmacy
  • Biloxi, MS
  • NPI 1144073008
  NPD

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1861072126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13034 SHRINERS BLVD STE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395328250",
            "telephone_number": "228-392-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13034 SHRINERS BLVD STE A",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395328250",
            "telephone_number": "228-392-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGEORGE",
        "first_name": "DOUGLASS",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MS",
            "license": "IE-8630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misty Lynn Dedeaux, AU.D.
• Tomika Marie Dedeaux, FNP-C
• Brooke Dees
• Strawford Hale Deesiii, M.D.
• Douglas Eugene Deever, M.D.
• Elizabeth Dekoven
• Eddy Manuel Del Rio, MD
• Nathan Christian Del Rio, DNP, APRN-CNP
• David Paul Demasters, DO
• Denese H. Dapito

• Pharmacist in Biloxi, MS
• Providers in Biloxi, MS by specialty
• Pharmacist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; 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.