COASTAL MEDICAL, INC. (NPI# 1184767022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184767022 |
| Entity Type | Organization |
| Organization Name | COASTAL MEDICAL, INC. |
| Practice Address |
761 Park Ave Cranston RI 02910-2137 |
| Mailing Address |
5626 Oberlin Dr Suite 110 San Diego CA 92121-1705 |
| Practice Telephone | 4014673460 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2012-10-17 |
| Authorized Official Name | KENNY HEINE (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 8586252990 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEDVANTX,INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | MD06986 | RI | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114124864 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 1075 Smith St, 2nd Floor, Providence, RI 02908-2700 | 2007-06-27 |
| 1528265212 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 450 Veterans Memorial Pkwy, 404, East Providence, RI 02914-5300 | 2007-06-27 |
| 1184767030 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 6 Blackstone Valley Pl, Suite 701, Lincoln, RI 02865-1179 | 2007-02-14 |
| 1073655379 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 400 Reservoir Ave, Providence, RI 02907-3565 | 2007-02-13 |
| 1992847099 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 1524 Atwood Ave, Ste. 340, Johnston, RI 02919-3228 | 2007-02-13 |
| 1114069218 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 850 Aquidneck Ave, Middletown, RI 02842-7244 | 2007-02-13 |
| 1720128499 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 70 Kenyon Ave, Suite 321, Wakefield, RI 02879-4239 | 2007-02-08 |
| 1144361718 | Coastal Medical, Inc. | Non-Pharmacy Dispensing Site | 900 Warren Ave, East Providence, RI 02914-1400 | 2007-02-08 |
| Street Address |
761 PARK AVE |
| City | CRANSTON |
| State | RI |
| Zip Code | 02910-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417443441 | Luis Guzman | Durable Medical Equipment & Medical Supplies | 29 Rolfe Square, Cranston, MA 02910 | 2018-07-02 |
| 1023535010 | Sarah Pagliarini | Nurse Practitioner | 725 Reservoir Ave Ste 308, Cranston, RI 02910 | 2017-08-29 |
| 1861890105 | Marissa Falco | Counselor | 1471 Elmwood Avenue, Cranston, RI 02910 | 2014-12-19 |
| 1952702425 | Lauren Beth Shibley | Counselor | 825 Pontiac Avenue Apt 14101, Cranston, RI 02910 | 2014-09-15 |
| 1831516632 | Kelly Kilmartin | Counselor | 471 Elmwood Avenue, Cranston, RI 02910 | 2014-03-19 |
| 1376784827 | Michael Eric Schaffer | Counselor | 989 Reservoir Ave Ste 104, Cranston, RI 02910 | 2009-03-13 |
| 1639384829 | Dolores Maiello Ciambrone | Social Worker | 145 Harmon Ave, Cranston, RI 02910 | 2007-05-11 |
| 1750502241 | Mary Jane Boucher | Counselor | Codac Cranston, 1052 Park Ave, Cranston, RI 02910 | 2007-05-01 |
| 1134250715 | Michele Bailey Chaudhry | Social Worker | 935 Reservoir Ave, Cranston, RI 02910 | 2007-03-08 |
| 1487703658 | Karen M Mega | Dentist | 567 Reservoir Ave, Cranston, RI 02910 | 2007-01-09 |
| Find all providers in zip 02910 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| 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.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497897870 | Rhode Island Primary Care, Inc. | Non-Pharmacy Dispensing Site | 65 Sockanosset Cross Rd, Suite 301, Cranston, RI 02920-5536 | 2007-02-13 |
| 1174662738 | University Medical Group, Inc. | Non-Pharmacy Dispensing Site | 1500 Pontiac Ave, Cranston, RI 02920-4406 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336493535 | Atmed Treatment Center, Inc | Non-Pharmacy Dispensing Site | 5750 Post Rd, East Greenwich, RI 02818-2139 | 2012-11-09 |
| 1760754923 | Richard M. Del Sesto Md Ms Ltd | Non-Pharmacy Dispensing Site | 3410 S County Trail, 303, E. Greenwich, RI 02818 | 2012-02-03 |
| 1336370691 | Provant Health Solutions, LLC | Non-Pharmacy Dispensing Site | 42 Ladd St, Suite 214, East Greenwich, RI 02818-4361 | 2009-08-05 |
| 1063684900 | Atmed Treatment Center Inc | Non-Pharmacy Dispensing Site | 1524 Atmed Avenue, Suite 122, Johnston, RI 02919 | 2008-04-01 |
| 1144304783 | Physicians of Rhode Island Enterprises Incorporated | Non-Pharmacy Dispensing Site | 10 Nate Whipple Hw 101, Cumberland, RI 02864 | 2006-10-24 |
| 1932520509 | University Internal Medicine Inc | Non-Pharmacy Dispensing Site | 407 East Ave, Suite 120, Pawtucket, RI 02860-5290 | 2013-12-26 |
| 1669800967 | Bald Hill Walk In and Primary Care | Non-Pharmacy Dispensing Site | 300 Quaker Ln, Suite 16, Warwick, RI 02886-0159 | 2013-10-23 |
| 1538474713 | University Family Medicine | Non-Pharmacy Dispensing Site | 1351 S County Trl, 301, East Greenwich, RI 02818-5079 | 2010-08-12 |
| 1447496617 | University Medicine Foundation Inc | Non-Pharmacy Dispensing Site | 50 Memorial Blvd, Newport, RI 02840-3636 | 2008-12-18 |
| 1538328570 | Rhode Island (r.i.) Cardiovascular Group Inc. | Non-Pharmacy Dispensing Site | 68 Cumberland St, 103, Woonsocket, RI 02895-3323 | 2008-06-05 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.