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MEMORIAL OUTPATIENT PHARMACY
NPI 1073063327
Pharmacy - Community/Retail Pharmacy in Gulfport, MS

Active since October 11, 2016
4500 13TH ST, GULFPORT, MS 39501(228) 865-3525(228) 865-3618 Get Directions Write a Review

NPPES record last updated: December 17, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2019, Jan 19, 2017, Oct 17, 2016 and 1 more (4 updates tracked since 2016).

About Memorial Outpatient Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEMORIAL OUTPATIENT PHARMACY (NPI 1073063327) is a healthcare organization registered as a community/retail pharmacy in Gulfport, Mississippi and active in the NPI registry since October 2016. The organization lists Jennifer Dumal, Coo, as its authorized official.

NPPES Registry Identity

NPI1073063327
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameMEMORIAL HOSPITAL AT GULFPORT
Location Address4500 13TH STGulfport, MS 39501-2515
Mailing AddressPo Box 1810Gulfport, MS 39502-1810 · (228) 865-3525 · Fax (228) 865-3618
Phone(228) 865-3525
Fax(228) 865-3618
Organization SubpartNo
Authorized OfficialJennifer DumalCoo · (228) 865-3542
Enumeration DateOctober 11, 2016
Last NPPES UpdateDecember 17, 20194 updates tracked since enumeration
✔ NPI 1073063327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License✔ Licensed in MS · 14971
Definition
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.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Compounding PharmacyTaxonomy 3336C0004X
Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X
4500 13TH ST, Gulfport, MS 39501
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Other Names 1

Doing Business AsMemorial Outpatient Pharmacy

Other Identifiers 2

Medicaid05383367MS
Other2162560Pk

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEATHER LYN JEFFREY
Nurse Practitioner
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
JASON WELLS CRNA
Nurse Anesthetist, Certified Registered
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 865-3281
MRS. CARLA ANN RUSHING AGACNP
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
TONI-ANN MILLER NP
Nurse Practitioner (Acute Care)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
MS. TIFFANY S SCATLIFFE CSFA
Physician Assistant (Surgical)
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4000
STANLEY TURNER CRNA
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 818-0563
MRS. JULIE KERSH APPEL RD
Dietitian, Registered
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 867-4054
DAVIS HUTTO CRNA
Anesthesiology
4500 13TH ST
GULFPORT, MS 39501
Harrison County (228) 818-0563

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 Memorial Hospital At Gulfport's NPI number?

The NPI number for Memorial Hospital At Gulfport is 1073063327. It was assigned to this organization in the NPPES registry on October 11, 2016. The provider is doing business as Memorial Outpatient Pharmacy.

Where is Memorial Hospital At Gulfport located?

Memorial Hospital At Gulfport is located at 4500 13th St, Gulfport, MS 39501. The listed phone number is (228) 865-3525.

What is Memorial Hospital At Gulfport's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

What insurance does Memorial Hospital At Gulfport accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 53 other insurers list Memorial Hospital At Gulfport 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 Memorial Hospital At Gulfport was last updated on December 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.