COASTAL MEDICAL, INC.


Address: 761 Park Ave, Cranston, RI 02910-2137
Phone: 4014673460

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 332900000X Non-Pharmacy Dispensing Site MD06986 RI Suppliers

Other Provider IDs and Locations

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

Office Location

Street Address 761 PARK AVE
City CRANSTON
State RI
Zip Code 02910-2137

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 332900000X
Grouping Suppliers
Classification Non-Pharmacy Dispensing Site

Taxonomy Definition

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]

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City CRANSTON
Zip Code 02910

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Dataset Information

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.

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