605 PHARMACY LLC
NPI 1023785565
Pharmacy - Community/Retail Pharmacy in Gulfport, MS
About 605 Pharmacy Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
605 PHARMACY LLC (NPI 1023785565) is a healthcare organization registered as a community/retail pharmacy in Gulfport, Mississippi and active in the NPI registry since August 2021. The organization lists Jordan Abuliel, Owner/pharmacist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and revalidation status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
605 Pharmacy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is 605 Pharmacy LLC's NPI number?
The NPI number for 605 Pharmacy LLC is 1023785565. It was assigned to this organization in the NPPES registry on August 24, 2021.
Where is 605 Pharmacy LLC located?
605 Pharmacy LLC is located at 8950 Lorraine Rd Ste F, Gulfport, MS 39503. The listed phone number is (504) 615-5738.
What is 605 Pharmacy LLC's specialty?
The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.
Is 605 Pharmacy LLC enrolled in Medicare?
Yes. 605 Pharmacy LLC is registered in the Medicare PECOS enrollment system.
When is 605 Pharmacy LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Pharmacy) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
What insurance does 605 Pharmacy LLC accept?
Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arkansas Health & Wellness and 49 other insurers list 605 Pharmacy LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for 605 Pharmacy LLC was last updated on August 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# 605 Pharmacy Llc · NPI 1023785565
Community/Retail Pharmacy organization in Gulfport, Mississippi. Organization record, active in the CMS NPPES registry since August 24, 2021.
## Identity
- **NPI:** 1023785565 (Entity type: Organization)
- **Enumerated:** August 24, 2021
- **Primary specialty:** Pharmacy - Community/Retail Pharmacy · taxonomy 3336C0003X
- **Organization subpart:** No
- **Authorized official:** Jordan Abuliel, OWNER/PHARMACIST
## Practice location
- **Address:** 8950 LORRAINE RD STE F, Gulfport, MS 39503-4183
- **Phone:** (504) 615-5738
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Mississippi, Pharmacy) · CMS Revalidation Due Date List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1023785565) · Data from the CMS NPPES public registry.