CARECENTER PHARMACY LLC (NPI# 1457739542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457739542 |
| Entity Type | Organization |
| Organization Name | CARECENTER PHARMACY LLC |
| Other Organization Name | CARE PLUS CVS/PHARMACY #10923 |
| Practice Address |
2105 Old Spanish Trl Gautier MS 39553-6000 |
| Mailing Address |
1 Cvs Dr Box 1075 Woonsocket RI 02895-6146 |
| Practice Telephone | 2284972455 |
| Mailing Telephone | 4017651500 |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2015-06-23 |
| Authorized Official Name | SUSAN COLBERT (DIRECTOR, PAYER RELATIONS) |
| Authorized Official Telephone | 4017651500 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| N | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
Suppliers | ||
| Y | 333600000X | Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCDPD | 2590215 | 01 |
| Other Name | Type Code |
|---|---|
| Care Plus CVS/Pharmacy #10923 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700017886 | Carecenter Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 208 S Akard St # PC08, Dallas, TX 75202-4206 | 2009-08-06 |
| 1407007669 | Carecenter Pharmacy LLC | Durable Medical Equipment & Medical Supplies | W165n 5595 Creekwood Crossing, Menomonee Falls, WI 53051-5655 | 2008-10-07 |
| 1821253246 | Carecenter Pharmacy LLC | Pharmacy | 3m Center Bldg 2221n1, Saint Paul, MN 55144-1001 | 2008-07-24 |
| 1144772146 | Carecenter Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 2775 Sanders Rd, Suite C1, Northbrook, IL 60062-6110 | 2016-10-26 |
| 1396102133 | Carecenter Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4500 Washington Ave, Newport News, VA 23607-2530 | 2016-01-25 |
| 1538530852 | Carecenter Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 9800 Fredericksburg Rd, San Antonio, TX 78288-0001 | 2015-10-13 |
| 1881086676 | Carecenter Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Coca Cola Plz Nw, Atlanta, GA 30313-2420 | 2015-03-03 |
| 1497099949 | Carecenter Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1000 Lowes Blvd, Mooresville, NC 28117-8520 | 2012-11-23 |
| Street Address |
2105 OLD SPANISH TRL |
| City | GAUTIER |
| State | MS |
| Zip Code | 39553-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558313601 | Michael Stinson | Nurse Practitioner | 2105 Old Spanish Trl, Gautier, MS 39553-6000 | 2006-05-17 |
| 1831730993 | Stephanie K Harding Dds PC | Clinic/Center | 2105 Old Spanish Trl, Gautier, MS 39553-6000 | 2019-09-30 |
| 1033646906 | Darren Charles Riley | Pharmacist | 2105 Old Spanish Trl, Gautier, MS 39553-6000 | 2017-05-22 |
| 1447649033 | Quad/med, LLC | Clinic/Center | 2105 Old Spanish Trl, Gautier, MS 39553-6000 | 2015-01-20 |
| 1407089907 | William Wyatt Moore | Nurse Practitioner | 2105 Old Spanish Trl, Gautier, MS 39553-6000 | 2009-08-31 |
| 1588857643 | Singing River Hospital System | Internal Medicine | 2105 Old Spanish Trl, Gautier, MS 39553-6000 | 2007-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205465044 | Loggan Malone | Dentist | 2808 Us-90 W, Gautier, MS 39553 | 2020-04-03 |
| 1770979775 | Catherine Durham | Counselor | 3407 Shamrock Dr., Gautier, MS 39553 | 2015-04-07 |
| 1851648836 | Pharmatex, LLC | Pharmacy | 4551-d Gautier Vancleave Road, Gautier, MS 39553 | 2012-08-09 |
| 1891957544 | David W Bonderer Dds Pllc | Dentist | 2808 Hwy 90, Suite 1, Gautier, MS 39553 | 2008-06-25 |
| 1790830313 | William D Parrish | Dentist | 713 Us Hwy 90, Gautier, MS 39553 | 2007-01-24 |
| 1073685830 | Jeffrey Lamone Knight | Dentist | 3105 Shaw Dr., Gautier, MS 39553 | 2006-11-15 |
| 1720178437 | Erica B Wilson | Counselor | 3704 Shamrock Court, Gautier, MS 39553 | 2006-10-13 |
| 1881781631 | James D Victory | Chiropractor | 315 Highway 90, Gautier, MS 39553 | 2006-10-05 |
| 1508959180 | Robert Douglas Holbert | Internal Medicine | 2105 Old Spanish Trail, Gautier, MS 39553 | 2006-10-02 |
| 1962508119 | Sentry-gautier, Inc. | Nursing Facility/Intermediate Care Facility | 5090 Gautier Vancleave Road, Gautier, MS 39553 | 2006-09-15 |
| Find all providers in zip 39553 | ||||
| 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 |
|---|---|---|---|---|
| 1376628792 | Controlex Enterprises, Inc. | Pharmacy | 2307 Highway 90, Gautier, MS 39553-5231 | 2006-10-25 |
| 1265837983 | Singing River Mental Health Mental Retardation Services | Pharmacy | 3407 Shamrock Ct, Gautier, MS 39553-5337 | 2014-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457973067 | Thomas Street Compounding Pharmacy | Pharmacy | 115 N Thomas St Ste G, Tupelo, MS 38801-3082 | 2020-05-18 |
| 1013558824 | Downhome Pharmacy, Inc. | Pharmacy | 606 W. Broad St, Monticello, MS 39654 | 2019-10-02 |
| 1356997985 | Sonshine Pharmacy, LLC | Pharmacy | 2745 Highway 371 N, Mantachie, MS 38855 | 2019-08-09 |
| 1699331868 | Fulton Specialty Pharmacy, LLC | Pharmacy | 1509 S Adams St Ste D, Fulton, MS 38843-6621 | 2019-05-14 |
| 1063971539 | National Pharmacy of Mississippi, LLC | Pharmacy | 371b Highland Colony Pkwy, Ridgeland, MS 39157-6035 | 2019-03-14 |
| 1811468952 | Davidson Pharmacy, LLC | Pharmacy | 203a N 2nd St, Booneville, MS 38829-2701 | 2018-12-16 |
| 1346710720 | Tupelo Specialty Pharmacy, LLC | Pharmacy | 1056 Cliff Gookin Blvd Ste C, Tupelo, MS 38801-6458 | 2018-11-28 |
| 1205302254 | A & A Infusion & Specialty, LLC | Pharmacy | 423 Mcallister St, Greenville, MS 38701-4704 | 2018-10-17 |
| 1306325402 | Family Drug Mart of Poplarville,llc | Pharmacy | 100 Highway 11 N, Poplarville, MS 39470-2217 | 2018-08-09 |
| 1851883789 | Amory Discount Pharmacy, LLC | Pharmacy | 60379 Cotton Gin Port Rd Ste B, Amory, MS 38821-7204 | 2018-06-06 |
| Find all providers with the same taxonomy | ||||
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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.