CASEY QUINN JOHNSON MINO (NPI# 1073850707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073850707 |
| Entity Type | Individual |
| Full Name | CASEY QUINN JOHNSON MINO |
| Credential | PHARM.D |
| Practice Address |
13034 Shriners Blvd Ste A Biloxi MS 39532-8250 |
| Mailing Address |
12749 Middle Bay Dr Kodiak AK 99615-9420 |
| Practice Telephone | 2283925355 |
| Practice Fax Number | 2283921620 |
| Mailing Telephone | 2282199888 |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2019-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E-010588 | MS | Pharmacy Service Providers |
| N | 183500000X | Pharmacist | 1890 | AK | Pharmacy Service Providers |
| Street Address |
13034 SHRINERS BLVD STE A |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-8250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134780786 | Mino's Pharmacy Inc. | Pharmacy | 13034 Shriners Blvd Ste A, Biloxi, MS 39532-8250 | 2019-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023950 | Rianne Marie Jones | Pharmacist | 10252 Woodlands Dr, Biloxi, MS 39532-9518 | 2020-08-13 |
| 1669949673 | Alice Bates | Pharmacist | 14321 Parker Rd, Biloxi, MS 39532-9381 | 2018-10-28 |
| 1942667175 | Nicholas Ladner Jr. | Pharmacist | 12435 Shriners Blvd, Biloxi, MS 39532-8249 | 2016-01-19 |
| 1629433131 | Hang Thuy Nguyen | Pharmacist | 921 Cedar Lake Rd, Biloxi, MS 39532-2126 | 2015-12-28 |
| 1871995761 | Cathy Le | Pharmacist | 509 Larcher Blvd, Biloxi, MS 39534 | 2014-09-23 |
| 1205247707 | Staci Mckenzie Wroten | Pharmacist | 141 Caldwell Ave, Biloxi, MS 39530-3608 | 2014-05-19 |
| 1689957938 | Alexandria Michaela Goins | Pharmacist | 14510 Lemoyne Blvd, Apt 204, Biloxi, MS 39532-7041 | 2011-09-22 |
| 1588943617 | Connie Lam | Pharmacist | 2050 Pass Rd, Biloxi, MS 39531-3128 | 2011-08-07 |
| 1083923148 | Robin Rashaun Vidal | Pharmacist | 19640 Highway 67, Biloxi, MS 39532-8666 | 2010-10-06 |
| 1083859367 | Joanna Heskett | Pharmacist | 301 Fisher St., Keesler Afb, 81 Mdg, Keesler Medical Center, Biloxi, MS 39531 | 2008-12-15 |
| Find all providers in BILOXI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.