PALM COAST PHARMACY INC (NPI# 1962637496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962637496 |
| Entity Type | Organization |
| Organization Name | PALM COAST PHARMACY INC |
| Practice Address |
9 Pine Cone Dr Suite 109 Palm Coast FL 32137-8686 |
| Mailing Address |
9 Pine Cone Drive Suite 109 Palm Coast FL 32137 |
| Practice Telephone | 3865977400 |
| Practice Fax Number | 3862467515 |
| Mailing Telephone | 3865977400 |
| Mailing Fax Number | 3862467515 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | VALERIY KRAYTER (PRESIDENT) |
| Authorized Official Telephone | 3865977400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers | ||
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PH24188 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FP1622756 | 01 |
| Street Address |
9 PINE CONE DR SUITE 109 |
| City | PALM COAST |
| State | FL |
| Zip Code | 32137-8686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740284439 | Matthew Dorman | Family Medicine | 9 Pine Cone Dr, Suite 102, Palm Coast, FL 32137-8686 | 2005-06-09 |
| 1750858197 | Besnik Mecaj | Physician Assistant | 9 Pine Cone Dr, Suite 102, Palm Coast, FL 32137-8683 | 2018-10-24 |
| 1003267980 | Advantacare of Florida, LLC | Pain Medicine | 9 Pine Cone Dr, Ste 104a, Palm Coast, FL 32137-8686 | 2016-06-22 |
| 1043674187 | Advantacare Multi-specialty Group, LLC | Physical Medicine & Rehabilitation | 9 Pine Cone Dr, Suite 104a, Palm Coast, FL 32137-8686 | 2016-04-05 |
| 1629481221 | Atlantic Dental Arts LLC | Dentist | 9 Pine Cone Dr, Suite 106a, Palm Coast, FL 32137-8686 | 2014-06-11 |
| 1366730293 | Stephanie Elaine Crandall | Physical Therapist | 9 Pine Cone Dr, # 104b, Palm Coast, FL 32137-8686 | 2011-07-12 |
| 1265694046 | Marilyn Lindsley Cortes | Physical Therapist | 9 Pine Cone Dr, #104b, Palm Coast, FL 32137-8686 | 2008-07-02 |
| 1831311810 | Palm Harbor Family Practice and Walk In Clinic Pa | General Practice | 9 Pine Cone Dr, Suite 102, Palm Coast, FL 32137-8686 | 2007-05-02 |
| 1184847485 | Margaret Davis | Occupational Therapist | 9 Pine Cone Dr, Palm Coast, FL 32137-8686 | 2007-04-11 |
| 1225157530 | Tamra Fleming | Speech-Language Pathologist | 9 Pine Cone Dr, Suite 104b, Palm Coast, FL 32137-8686 | 2007-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922617505 | Palm Coast Alf Management LLC | Assisted Living Facility | 3830 Old Kings Road, Palm Coast, FL 32137 | 2020-07-29 |
| 1093324964 | Akilah Collins | Behavior Technician | 515 Palm Coast Pwky Sw, Suite 6, Palm Coast, FL 32137 | 2020-07-27 |
| 1750929477 | Jeanette Ann Stevens | Technician | 1 Lema Place, Palm Coast, FL 32137 | 2019-12-12 |
| 1649816919 | Patrick Meyer | Occupational Therapy Assistant | 9 Pine Cone Drive, Palm Coast, Palm Coast, FL 32137 | 2019-11-21 |
| 1689230385 | Coastal Care Medical Transport | Non-emergency Medical Transport (VAN) | #2b, 1 Hargrove Grde, Palm Coast, FL 32137 | 2019-05-17 |
| 1407357437 | Palm Coast Counseling, LLC | Counselor | 1 Hargrove Grade, Ste B-1, Palm Coast, FL 32137 | 2018-02-25 |
| 1679081459 | Lance J Langston | Behavior Technician | 2 Crosstie Ct, Palm Coast, FL 32137 | 2018-01-16 |
| 1407360712 | Hanna Mercedes Brown | Behavior Technician | 515 Palm Coast Pkwy, Suite 6/7, Palm Coast, FL 32137 | 2017-11-22 |
| 1760994511 | Sophia's Choice Hands That Help, LLC | Custodial Care Facility | 119 Bud Hollow Dr, Palm Coast, FL 32137 | 2017-11-02 |
| 1922543255 | Megan Katherine Dickerson | Physical Therapist | 250 Palm Coast Pkwy Ne Unit 209a, Palm Coast, FL 32137 | 2016-12-22 |
| Find all providers in zip 32137 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972884203 | Pinnacle Pharmacy Inc | Pharmacy | 80 Pinnacles Dr Ste 900, Palm Coast, FL 32164-2915 | 2011-08-31 |
| 1992966246 | Holiday Cvs LLC | Pharmacy | 5100 E Highway 100, Palm Coast, FL 32164-2365 | 2008-06-19 |
| 1477657450 | Holiday Cvs LLC | Pharmacy | 5151 Belle Terre Pkwy, Palm Coast, FL 32137-8689 | 2006-09-12 |
| 1467811703 | Rural Health Care, Inc | Pharmacy | 460 Palm Coast Pkwy Sw, Suite 5, Palm Coast, FL 32137-4785 | 2016-02-15 |
| 1114296050 | Walgreens | Pharmacy | 5000 E Highway 100, Palm Coast, FL 32164-2363 | 2011-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871583 | Florida Community Health Centers, Inc. | Pharmacy | 9576 S Us Highway 1, Port Saint Lucie, FL 34952-4217 | 2020-11-06 |
| 1053911883 | Nrc Pharmd Inc | Pharmacy | 2700 Immokalee Rd Ste 24, Naples, FL 34110-1437 | 2020-10-30 |
| 1073112116 | Hl72 LLC | Pharmacy | 5193 Clark Rd, Sarasota, FL 34233-3213 | 2020-10-20 |
| 1689280851 | Unique Pharmacy Corp | Pharmacy | 7800 Sw 87th Ave Ste 210b, Miami, FL 33173-2537 | 2020-09-22 |
| 1033723127 | Five Pillars Corporation | Pharmacy | 2301 N University Dr Ste 112, Pembroke Pines, FL 33024-3617 | 2020-09-04 |
| 1780297655 | Healthy Living Pharmacy LLC | Pharmacy | 755 Rosemary Cir, Bradenton, FL 34212-5015 | 2020-08-28 |
| 1326651555 | Purformance Wellness Pharmacy LLC | Pharmacy | 600 Se Indian St Ste 3, Stuart, FL 34997-5540 | 2020-08-27 |
| 1043822620 | Specialtycarerx LLC | Pharmacy | 821 N Us Highway 1 Ste A, Ormond Beach, FL 32174-4528 | 2020-08-17 |
| 1831700855 | Kingsley Rx LLC | Pharmacy | 1542 Kingsley Ave Ste 142, Orange Park, FL 32073-4547 | 2020-08-13 |
| 1104435742 | Easyscripts LLC | Pharmacy | 2601 S Military Trl Ste 1, West Palm Beach, FL 33415-7509 | 2020-07-29 |
| Find all providers with the same taxonomy | ||||
| City | PALM COAST |
| Zip Code | 32137 |
Please comment or provide details below to improve the information on PALM COAST PHARMACY INC.
| 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.