COASTAL DRUG COMPANY LLC (NPI# 1245392224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245392224 |
| Entity Type | Organization |
| Organization Name | COASTAL DRUG COMPANY LLC |
| Other Organization Name | COASTAL DRUG COMPANY LLC |
| Practice Address |
204 Butler St Midway GA 31320 |
| Mailing Address |
Po Box 3 Midway GA 31320-0003 |
| Practice Telephone | 9128849255 |
| Practice Fax Number | 9128849257 |
| Mailing Telephone | 9128849255 |
| Mailing Fax Number | 9128849257 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2018-08-07 |
| Authorized Official Name | HARNISH PATEL (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 9128849255 |
| Authorized Official Credential | RPH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PHRE005237 | GA | Suppliers |
| Other Name | Type Code |
|---|---|
| Coastal Drug Company | Doing Business As Name - Organization |
| Coastal Drug Company LLC | Doing Business As Name - Organization |
| Street Address |
204 BUTLER ST |
| City | MIDWAY |
| State | GA |
| Zip Code | 31320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124144068 | Coastal Discount Pharmacy | Durable Medical Equipment & Medical Supplies | 204 Butler St, Midway, GA 31320 | 2007-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407123557 | Woodlands Healthcare & Rehab LLC | Skilled Nursing Facility | 625 Coastal Highway 17 N, Midway, GA 31320 | 2011-11-17 |
| 1467638221 | Trinity Healthcare Recruiting Corp | Contractor | 242 Coastal Hwy Suite 100, Prime Care Medical Bldg, Midway, GA 31320 | 2008-01-11 |
| 1043437502 | Noel C. Luis-smith | Physical Therapist | Us Highway 17 North, Woodlands Health Care LLC, Midway, GA 31320 | 2007-04-19 |
| 1285643320 | Betty Jane Long | Pharmacist | 204 Butler Ave, Midway, GA 31320 | 2006-08-07 |
| 1255302733 | Woodland Health Care LLC | Skilled Nursing Facility | 652 N Coastal Hwy 17, Midway, GA 31320 | 2006-01-31 |
| 1811986003 | Traiana Daciana Pacurar | Internal Medicine | 586 Islands Highway, Midway, GA 31320 | 2005-10-19 |
| 1003391459 | Liberty Orthopaedic Associates | Orthopaedic Surgery | 586 Islands Highway, Midway, GA 31320 | 2018-10-02 |
| 1093214041 | Hospital Authority of Liberty County | General Practice | 586 Islands Highway, Midway, GA 31320 | 2018-02-06 |
| 1841304383 | Theron Glenn Fox Jr. | Pharmacist | 204 Butler Ave, Midway, GA 31320 | 2006-08-19 |
| 1598019994 | Jamie L Redding | Behavioral Analyst | 79 Olde Cottage Ln, Midway, GA 31320-2307 | 2012-11-07 |
| Find all providers in zip 31320 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| 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. |
| 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] |
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| 1508470964 | Swain Drug Company LLC | Pharmacy | 855 Bowens Mill Rd Sw Suite E, Douglas, GA 31533 | 2020-09-03 |
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| 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.