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SARTIN'S VITAL CARE INC. NPI 1790798999


NPI Information

NPI: 1790798999
Provider Name: SARTIN'S VITAL CARE, INC.

Doing Business As: SARTIN'S VITAL CARE

Classification: Pharmacy - 333600000X
Entity Type: Organization
Address:
4300 15TH ST
SUITE A
GULFPORT, MS
ZIP 39501
Phone: (228) 864-7056
Get Directions

SARTIN'S VITAL CARE, INC. is a pharmacy in Gulfport, MS. The provider is 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. SARTIN'S VITAL CARE, INC. NPI is 1790798999. The provider is registered as an organization entity type.
The provider Is Doing Business As Sartin's Vital Care.

The provider's business location address is:

4300 15TH ST
SUITE A
GULFPORT, MS
ZIP 39501-524
Phone: (228) 864-7056

The provider's authorized official is C Sartin .
The authorized official title is Owner and has the following contact phone number (228) 864-7056.

The enumeration date for this NPI number is 8/15/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1333600000XPharmacy01681/01.1MISSISSIPPIYes
23336C0003XPharmacyCommunity/Retail Pharmacy01681/01.1MISSISSIPPIX
33336S0011XPharmacySpecialty Pharmacy01681/01.1MISSISSIPPIX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100034748MEDICAIDMISSISSIPPI
200040011MEDICAIDMISSISSIPPI
353025OTHERLOUISIANABCBS HIT
473012424OTHERALABAMABCBS
5606520OTHERMISSISSIPPITRIGON BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.