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GAUTIER SAV REX #634
NPI 1376628792
Pharmacy in Gautier, MS

Active since October 25, 2006
2307 HIGHWAY 90, GAUTIER, MS 39553(228) 497-4090(228) 762-1756 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gautier Sav Rex #634 NPPES

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

GAUTIER SAV REX #634 (NPI 1376628792) is a healthcare organization registered as a pharmacy in Gautier, Mississippi and active in the NPI registry since October 2006. The organization lists Modena S Cannon, Pharmacy Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1376628792
Entity TypeOrganization
Primary Taxonomy333600000X
Legal Business NameCONTROLEX ENTERPRISES, INC.
Location Address2307 HIGHWAY 90Gautier, MS 39553-5231
Mailing Address1420 Ingalls AvePascagoula, MS 39567-5650 · (228) 769-7067 · Fax (228) 762-1756
Phone(228) 497-4090
Fax(228) 762-1756
Organization SubpartNo
Authorized OfficialModena S CannonPharmacy Operations Manager · (228) 769-7067
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1376628792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacySuppliers
Taxonomy Code333600000X
License✔ Licensed in MS · 00839/01.2
Definition
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.
2307 HIGHWAY 90, Gautier, MS 39553
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Other Names 1

Doing Business AsGautier Sav Rex #634

Other Identifiers 2

Medicaid0091839MS
Other2503476MS · Ncpdp

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 Controlex Enterprises, Inc.'s NPI number?

The NPI number for Controlex Enterprises, Inc. is 1376628792. It was assigned to this organization in the NPPES registry on October 25, 2006. The provider is doing business as Gautier Sav Rex #634.

Where is Controlex Enterprises, Inc. located?

Controlex Enterprises, Inc. is located at 2307 Highway 90, Gautier, MS 39553. The listed phone number is (228) 497-4090.

What is Controlex Enterprises, Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

When was this NPI record last updated?

The NPPES record for Controlex Enterprises, Inc. was last updated on August 22, 2020. 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.