MR. GARY WAYNE TRIVANOVICH (NPI# 1548543531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548543531 |
| Entity Type | Individual |
| Full Name | MR. GARY WAYNE TRIVANOVICH |
| Credential | RPH |
| Practice Address |
2405 Pass Rd Biloxi MS 39531-2111 |
| Practice Telephone | 2283883458 |
| Practice Fax Number | 2283884091 |
| Mailing Telephone | 2283883458 |
| Mailing Fax Number | 2283884091 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | E06129 | MS | Pharmacy Service Providers |
| Street Address |
2405 PASS RD |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-2111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669487823 | Walgreen Co | Pharmacy | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2006-07-29 |
| 1053922138 | Joshua Favre | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2020-08-12 |
| 1265953855 | Anne Marie Foglesong | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2017-07-05 |
| 1760937734 | Desirea Queen | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2016-08-19 |
| 1114279254 | Joshua Rashad Bell | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2012-10-14 |
| 1063789972 | Robyn Elizabeth Turner | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2011-11-20 |
| 1699052068 | Andrew Raymond Van Acker | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2011-11-13 |
| 1942587480 | Nina Nguyen | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2011-11-11 |
| 1194008193 | Tiffany Robin Bird | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2011-09-26 |
| 1619282779 | Brent Theodore Barry | Pharmacist | 2405 Pass Rd, Biloxi, MS 39531-2111 | 2010-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063023950 | Rianne Marie Jones | Pharmacist | 10252 Woodlands Dr, Biloxi, MS 39532-9518 | 2020-08-13 |
| 1669949673 | Alice Bates | Pharmacist | 14321 Parker Rd, Biloxi, MS 39532-9381 | 2018-10-28 |
| 1942667175 | Nicholas Ladner Jr. | Pharmacist | 12435 Shriners Blvd, Biloxi, MS 39532-8249 | 2016-01-19 |
| 1629433131 | Hang Thuy Nguyen | Pharmacist | 921 Cedar Lake Rd, Biloxi, MS 39532-2126 | 2015-12-28 |
| 1871995761 | Cathy Le | Pharmacist | 509 Larcher Blvd, Biloxi, MS 39534 | 2014-09-23 |
| 1205247707 | Staci Mckenzie Wroten | Pharmacist | 141 Caldwell Ave, Biloxi, MS 39530-3608 | 2014-05-19 |
| 1073850707 | Casey Quinn Johnson Mino | Pharmacist | 13034 Shriners Blvd Ste A, Biloxi, MS 39532-8250 | 2013-01-15 |
| 1689957938 | Alexandria Michaela Goins | Pharmacist | 14510 Lemoyne Blvd, Apt 204, Biloxi, MS 39532-7041 | 2011-09-22 |
| 1588943617 | Connie Lam | Pharmacist | 2050 Pass Rd, Biloxi, MS 39531-3128 | 2011-08-07 |
| 1083923148 | Robin Rashaun Vidal | Pharmacist | 19640 Highway 67, Biloxi, MS 39532-8666 | 2010-10-06 |
| Find all providers in BILOXI | ||||
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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.