SARTIN'S VITAL CARE INC (NPI# 1407869605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407869605 |
| 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 | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
01681/01.1 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | BCBS HIT | 53025 | 01 |
| MS | TRIGON BCBS | 606520 | 01 |
| MS | 00040011 | 05 | |
| AL | BCBS | 73012424 | 01 |
| MS | 00034748 | 05 |
| 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 |
| 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 |
| 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 |
| 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 |
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| Taxonomy Code | 3336L0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Long Term Care Pharmacy |
| A pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. |
| 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 |
|---|---|---|---|---|
| 1275143323 | Sartin's Discount Drugs, Inc | Pharmacy | 4300 15th St Ste 1, Gulfport, MS 39501-2524 | 2020-08-04 |
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| 1821292731 | Tara Pharmacy | Pharmacy | 110 Metroplex Blvd, Suite H, Pearl, MS 39218 | 2007-06-13 |
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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.