SARTIN'S VITAL CARE INC (NPI# 1134132335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134132335 |
| Entity Type | Organization |
| Organization Name | SARTIN'S VITAL CARE INC |
| Other Organization Name | SARTIN'S VITAL CARE |
| Practice Address |
4300 15th St Suite A Gulfport MS 39501-2524 |
| Mailing Address |
Po Box 5047 Meridian MS 39302-5047 |
| Practice Telephone | 2288647056 |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | C SARTIN (OWNER) |
| Authorized Official Telephone | 2288647056 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336S0011X |
Pharmacy Specialization: Specialty Pharmacy |
01681/01.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BCBS | 73012424 | 01 |
| MS | 00034748 | 05 | |
| MS | 00040011 | 05 | |
| LA | BCBS HIT | 53025 | 01 |
| MS | TRIGON BCBS | 606520 | 01 |
| Other Name | Type Code |
|---|---|
| SARTIN'S VITAL CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316950512 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1225041429 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1609889807 | Sartin's Vital Care Inc | Durable Medical Equipment & Medical Supplies | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1518970714 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1598778797 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1407869605 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| Street Address |
4300 15TH ST SUITE A |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501-2524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285663799 | Michael A Seicshnaydre | Specialist | 4300 15th St, Gulfport, MS 39501-2524 | 2006-06-30 |
| 1588066286 | Aimee Seicshnaydre | Physical Therapist | 4300 15th St, Suite B, Gulfport, MS 39501-2524 | 2014-09-24 |
| 1750494670 | Sartin's Discount Drugs, Inc | Durable Medical Equipment & Medical Supplies | 4300 15th St, Suite # 1, Gulfport, MS 39501-2524 | 2006-08-16 |
| 1316950512 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1225041429 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1790798999 | Sartin's Vital Care, Inc. | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1609889807 | Sartin's Vital Care Inc | Durable Medical Equipment & Medical Supplies | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1518970714 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1598778797 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
| 1407869605 | Sartin's Vital Care Inc | Pharmacy | 4300 15th St, Suite A, Gulfport, MS 39501-2524 | 2006-08-15 |
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| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
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| Taxonomy Code | 3336S0011X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Specialty Pharmacy |
| A pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration. |
| 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: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568669208 | Jackson's Discount Pharmacy, Inc. | Pharmacy | 11340 Three Rivers Rd Ste A, Gulfport, MS 39503-3650 | 2007-06-27 |
| 1932133196 | Sartin's Vital Care, Inc. | Pharmacy | 1311 Broad Ave, Gulfport, MS 39501 | 2006-07-11 |
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| 1316278062 | A & A Home Health Equipment, Inc. | Pharmacy | 3080 E Reed Rd, Greenville, MS 38703-9410 | 2010-01-20 |
| 1235175746 | Trustmore Incorporated | Pharmacy | 102 Metroplex Blvd, Suite A, Pearl, MS 39208 | 2006-06-22 |
| 1467495234 | Innovative Pharmacy Services Inc | Pharmacy | 312b Marion Ave, Mccomb, MS 39648-2708 | 2006-06-13 |
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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.