Mississippi Orthopaedic Institute
Non-pharmacy Dispensing Site
15190 Community Rd Ste 120, Gulfport
Mississippi, 39503-3484
228-328-2400 228-328-4200
Mississippi Orthopaedic Institute is a Non-pharmacy Dispensing Site in Gulfport, Mississippi. It is located at 15190 Community Rd Ste 120, Gulfport and it's customer support contact number is 228-328-2400. The authorized person of Mississippi Orthopaedic Institute is Robert Lance Johansen, MD who is Owner of the pharmacy and his contact number is 228-328-2400. Active license number of Mississippi Orthopaedic Institute is 14698 for Non-pharmacy Dispensing Site in Mississippi.
Mississippi Orthopaedic Institute is a site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
Pharmacy Details:
Mississippi Orthopaedic Institute type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Mississippi Orthopaedic Institute |
| Type: | Non-pharmacy Dispensing Site |
| Location: | 15190 Community Rd Ste 120, Gulfport,
Mississippi, 39503-3484 |
| Phone: | 228-328-2400 |
| Fax: | 228-328-4200 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Robert Lance Johansen |
| Credentials: | MD |
| Position: | Owner |
| Contact Number: | 228-328-2400 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given pharmacy are as mentioned below.
| NPI Number: | 1295161404 |
| NPI Enumeration Date: | 19 Sep, 2013 |
| NPI Last Update On: | 19 Sep, 2013 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mississippi Orthopaedic Institute are as mentioned below.
| Specialization | License Number | State | Status | |
| Non-pharmacy Dispensing Site | 14698 | Mississippi | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 04232510 | Medicaid | Mississippi | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 15190 Community Rd Suite 120,
Gulfport, Mississippi |
| Zip: | 39503 |
| Phone Number: | 228-328-2400 |
| Fax Number: | 228-328-4200 |
Patients can reach Mississippi Orthopaedic Institute at
15190 Community Rd Ste 120, Gulfport, Mississippi or can
call on customer care at 228-328-2400.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.