GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC (NPI# 1184078024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184078024 |
| Entity Type | Organization |
| Organization Name | GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC |
| Other Organization Name | ADVANCED CARE PHARMACY |
| Practice Address |
580 Providence Park Dr E Ste 202 Suite 202 Mobile AL 36695-4614 |
| Mailing Address |
1620 W. Northwest Hwy Suite 100 Grapevine TX 76051 |
| Practice Telephone | 2512410071 |
| Practice Fax Number | 2512029163 |
| Mailing Telephone | 8175720009 |
| Mailing Fax Number | 8177201039 |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-06-29 |
| Authorized Official Name | TAMMIE MISKIMINS (MANAGER, PHARMACY LICENSING/CONTRAC) |
| Authorized Official Telephone | 8175720009 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | 114611 | AL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2159548 | 01 |
| Other Name | Type Code |
|---|---|
| Advanced Care Pharmacy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891179727 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 6701 Airport Blvd Ste D232, Mobile, AL 36608-6757 | 2015-07-09 |
| 1336523265 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 580 Providence Park Dr E, Mobile, AL 36695-4614 | 2015-07-09 |
| 1922346956 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 10800 Panama City Beach Pkwy, Suite 200, Panama City Beach, FL 32407-2533 | 2013-01-25 |
| 1750629788 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 4554 E Highway 20, Niceville, FL 32578-9755 | 2013-01-25 |
| 1205174232 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 7720 Us Highway 98 W, Suite 340, Miramar Beach, FL 32550-7230 | 2013-01-25 |
| 1750614301 | Gulf Coast Dermatology & Skin Care Centre Pllc | Dermatology | 580 Providence Park Dr E, Second Floor, Mobile, AL 36695-4614 | 2009-09-15 |
| Street Address |
580 PROVIDENCE PARK DR E STE 202 SUITE 202 |
| City | MOBILE |
| State | AL |
| Zip Code | 36695-4614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677596 | Linda Jean Hayes | Counselor | 2146 Carson Court, Mobile, AL 36695 | 2020-10-22 |
| 1205447836 | Restore Therapy Services, Ltd | Physical Therapist | 6720 Grejot Road, Mobile, AL 36695 | 2020-08-17 |
| 1437774999 | Nicholas Alan Brautigam | Chiropractor | 960 Schillinger Rd S, Suite D, Mobile, AL 36695 | 2020-06-10 |
| 1891320412 | R3 Counseling Solutions, LLC | Social Worker | 1110 Hillcrest Road, Suite 1b, Mobile, AL 36695 | 2020-03-04 |
| 1649800079 | Tondalaya Denise Mack | Home Health | 1450 Leroy Stevens Rd, Apt35, Mobile, AL 36695 | 2020-01-24 |
| 1801367107 | Tera Walters Therapy LLC | Pediatrics | 2523 D'iberville Drive North, Mobile, AL 36695 | 2018-12-12 |
| 1023595279 | Hall & Oates Pt West Mobile, LLC | Physical Therapist | 2351 Dawes Road, Mobile, AL 36695 | 2018-07-20 |
| 1679069116 | Oculo-facial Consultants | Ophthalmology | 610 Providence Park Dr E Bldg 2, Mobile, AL 36695 | 2018-07-09 |
| 1669964318 | Tina Highsmith | Hearing Instrument Specialist | 2344 Schillinger Rd S, Building #2 Ste A, Mobile, AL 36695 | 2018-05-30 |
| 1023533858 | Reach Pediatric Therapy | Speech-Language Pathologist | 12485 Jeff Hamilton Rd, Mobile, AL 36695 | 2017-08-14 |
| Find all providers in zip 36695 | ||||
| Taxonomy Code | 333600000X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023512829 | Jkld II LLC | Pharmacy | 1 S Royal St, Mobile, AL 36602-3234 | 2018-03-19 |
| 1003228701 | Dawes Family Pharmacy, LLC | Pharmacy | 8650 Cottage Hill Rd, Suite 101, Mobile, AL 36695-3612 | 2014-05-29 |
| 1881963460 | Three Notch Pharmacy LLC | Pharmacy | 4880 Lakeland Dr Ste F, Mobile, AL 36619-1122 | 2011-12-28 |
| 1497055347 | Prescription Pros Inc | Pharmacy | 2152 Airport Blvd Ste 107, Mobile, AL 36606-1751 | 2010-10-26 |
| 1598802720 | Pmoa Inc. | Pharmacy | 676 University Blvd S, Mobile, AL 36609-7866 | 2007-01-30 |
| 1215087523 | Skyland Discount Drugs | Pharmacy | 3968 Government Blvd, Mobile, AL 36693-4723 | 2007-01-11 |
| 1588742779 | American Homepatient, Inc. | Pharmacy | 7 Mcgregor Ave S, Mobile, AL 36608-1826 | 2006-11-02 |
| 1942303672 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 2280 Mlk Blvd, Mobile, AL 36610 | 2006-09-07 |
| 1144323866 | Alabama Cvs Pharmacy, L.L.C. | Pharmacy | 2550 Dauphin St, Mobile, AL 36606-4821 | 2006-09-07 |
| 1740395938 | Brunos Inc | Pharmacy | 3170 Dauphin St, Mobile, AL 36606-4005 | 2006-08-20 |
| Find all providers in MOBILE | ||||
Please comment or provide details below to improve the information on GULF COAST DERMATOLOGY & SKIN CARE CENTRE PLLC.
| 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.