PACIFIC COAST MEDICAL SUPPLY (NPI# 1427274927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427274927 |
| Entity Type | Organization |
| Organization Name | PACIFIC COAST MEDICAL SUPPLY |
| Practice Address |
2158 Exchange St Ste 106 Astoria OR 97103-3316 |
| Mailing Address |
Po Box 634 Astoria OR 97103-0634 |
| Practice Telephone | 5033380349 |
| Practice Fax Number | 5033386998 |
| Mailing Telephone | 5033380349 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2016-07-21 |
| Authorized Official Name | NORMAN D STUTZNEGGER (PRESIDENT) |
| Authorized Official Telephone | 5033380349 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
NPC-0001961 | OR | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9046947 | 05 | |
| OR | 500600821 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053707182 | Pacific Coast Medical Supply | Durable Medical Equipment & Medical Supplies | 1704 W Manchester Ave, Suite 105, Los Angeles, CA 90047-3063 | 2015-04-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | PACIFIC COAST MEDICAL SUPPLY, INC. | 2158 Exchange St Ste 106, Astoria, OR 97103 |
| Street Address |
2158 EXCHANGE ST STE 106 |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801847355 | Jennifer Lycette | Internal Medicine | 2158 Exchange St, Suite 107, Astoria, OR 97103-3316 | 2006-05-12 |
| 1316484165 | Yakima Valley Farm Workers Clinic | Clinic/Center | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 | 2017-01-31 |
| 1083009872 | Brenda Mcnaughton | Nurse Practitioner | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 | 2015-03-30 |
| 1225469521 | Megan Laurel Rambob | Nurse Practitioner | 2158 Exchange St, #304, Astoria, OR 97103-3316 | 2013-12-11 |
| 1912257015 | Chelsea Anne Draper | Registered Nurse | 2158 Exchange St, #304, Astoria, OR 97103 | 2012-09-16 |
| 1629378880 | Columbia Lutheran Charities | Internal Medicine | 2158 Exchange St, Suite 206, Astoria, OR 97103-3316 | 2010-10-21 |
| 1114231420 | Christie Marie Rivelli | Nurse Practitioner | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 | 2010-07-28 |
| 1437229366 | Tina Marie Galey | Nurse Practitioner | 2158 Exchange St, Suite 304, Astoria, OR 97103-3316 | 2006-11-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811467673 | Infinity Medical Inc | Durable Medical Equipment & Medical Supplies | 2316 36th St, Astoria, NY 11105-2246 | 2018-12-04 |
| 1235637083 | Bridan Medical Supply Services Inc. | Durable Medical Equipment & Medical Supplies | 3109 Newtown Ave Ste 211b, Astoria, NY 11102-1373 | 2018-01-26 |
| 1750829933 | Indigo Optical Center | Durable Medical Equipment & Medical Supplies | 3241 Steinway St, Astoria, NY 11103-4075 | 2017-02-07 |
| 1932556503 | Astoria Organix Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 3720 31st Ave, Astoria, NY 11103-3822 | 2016-05-24 |
| 1356778310 | Mark Sebesta Sr. | Durable Medical Equipment & Medical Supplies | 2141 34th Ave Apt 2c, Astoria, NY 11106-4356 | 2013-10-03 |
| 1649588658 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 3101 Ditmars Blvd, Astoria, NY 11105-2304 | 2010-09-24 |
| 1548449549 | Function Enhancing Physical Therapy Pllc | Durable Medical Equipment & Medical Supplies | 27-10 Astoria Blvd, Ground Floor, Astoria, NY 11102 | 2007-10-26 |
| 1669663894 | G&d Eyewear | Durable Medical Equipment & Medical Supplies | 3095 Steinway St, Astoria, NY 11103-3801 | 2007-08-05 |
| 1528269180 | North Coast Home Care, Inc. | Durable Medical Equipment & Medical Supplies | 2230 Exchange St, Astoria, OR 97103-3332 | 2007-05-30 |
| 1508948399 | Pharmakolojie Inc | Durable Medical Equipment & Medical Supplies | 3091 31st St, Astoria, NY 11102-2278 | 2006-10-20 |
| Find all providers in ASTORIA | ||||
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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.