Island Drug, LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

113101 Issued in AL

Legal business name

ISLAND DRUG, LLC

Doing business as

Island Drug Inc

Practice address

3645 Gulf Shores Parkway
Ste 107
Gulf Shores, AL 36542-2721

Phone

(251) 967-1100

Fax

(251) 967-1200

NPI assigned

May 14, 2008

Organization subpart

No

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

Authorized official

Name

Michael Tillis

Title

Owner

Phone

(228) 217-5192

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• ISLAND DRUG INC Doing business as

Locations

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1881861383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 4147",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "36547",
            "telephone_number": "251-967-1100",
            "fax_number": "251-967-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3645 GULF SHORES PARKWAY",
            "address_2": "STE 107",
            "city": "GULF SHORES",
            "state": "AL",
            "postal_code": "365422721",
            "telephone_number": "251-967-1100",
            "fax_number": "251-967-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND DRUG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-14",
        "last_updated": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "TILLIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-217-5192"
    },
    "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": "113101",
            "primary": true
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881861383",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "1996299",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ISLAND DRUG INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• High Performance Physical Therapy LLC
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• Katelyn Pannell Hoover, PT, DPT, ATC
• George Thomas Illiano
• Infirmary Health Urgent Care - Gulf Shores, P.C. (Thomas Hospital Urgent Care - Gulf Shores)
• Island Life Personalized Medicine
• Island Orthodontics
• Perri Palmer Jacobs, ED.D.
• James V Shamburger, DMD, PC (Alabama Coast Family Dentistry)
• Jeanne M Birkenhauer, M.D., P.C.

• Community/Retail Pharmacy in Gulf Shores, AL
• Providers in Gulf Shores, AL by specialty
• Community/Retail Pharmacy in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.

Verify at the official NPI Registry.