SARTIN'S VITAL CARE INC (NPI# 1225041429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225041429 |
| 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 | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
01681/01.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00034748 | 05 | |
| MS | 00040011 | 05 | |
| MS | TRIGON BCBS | 606520 | 01 |
| LA | BCBS HIT | 53025 | 01 |
| AL | BCBS | 73012424 | 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 |
| 1134132335 | 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 |
| 1134132335 | 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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| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 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 | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| 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] |
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| 1124576079 | G Med II LLC | Pharmacy | 4723 Tennessee Ave, Gulfport, MS 39501-8130 | 2016-09-20 |
| 1134583305 | Coastal Family Health Center Inc | Pharmacy | 9113 Highway 49 Ste 200, Gulfport, MS 39503-4330 | 2016-04-13 |
| 1730598293 | Skp LLC | Pharmacy | 5004 Gulfport Blvd S, Gulfport, FL 33707-4942 | 2014-08-09 |
| 1134568942 | Good Medicine, LLC | Pharmacy | 20006 Highway 53 Ste B, Gulfport, MS 39503-7843 | 2013-06-14 |
| 1952400269 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 2424 25th Ave, Gulfport, MS 39501-4524 | 2006-09-22 |
| 1861591174 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 1422 E Pass Rd, Gulfport, MS 39507-3521 | 2006-09-22 |
| 1134228448 | Mississippi Cvs Pharmacy, L.L.C. | Pharmacy | 11022 Highway 49, Gulfport, MS 39503-4110 | 2006-09-22 |
| 1821190463 | Mkb Pharmacy, Inc | Pharmacy | 12372 Highway 49, Gulfport, MS 39503-2741 | 2006-09-03 |
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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.