COASTAL FAMILY HEALTH PHARMACY WIGGINS
NPI 1003646951
Pharmacy - Community/Retail Pharmacy in Wiggins, MS

Active since August 06, 2024CLIA Certified · 2 labs
1407 CENTRAL AVE E, WIGGINS, MS 39577(601) 385-0077(601) 385-0078 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 6, 2024, Aug 6, 2024 (2 updates tracked since 2024).

About Coastal Family Health Pharmacy Wiggins NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COASTAL FAMILY HEALTH PHARMACY WIGGINS (NPI 1003646951) is a healthcare organization registered as a community/retail pharmacy in Wiggins, Mississippi and active in the NPI registry since August 2024. The organization holds 2 active CLIA laboratory certificates and lists Patrick Hutto, Director Of Pharmacy Services, as its authorized official.

NPPES Registry Identity

NPI1003646951
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOASTAL FAMILY HEALTH CENTER, INC
Location Address1407 CENTRAL AVE EWiggins, MS 39577-9611
Mailing Address10467 Corporate DrGulfport, MS 39503-4634 · (228) 374-2494 · Fax (228) 396-3457
Fax(601) 385-0078
Organization SubpartNo
Authorized OfficialPatrick HuttoDirector Of Pharmacy Services · (228) 374-2476
Enumeration DateAugust 6, 2024
Last NPPES UpdateNovember 6, 20242 updates tracked since enumeration
NPPES CertifiedNovember 6, 2024
NPI 1003646951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
Definition

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.

1407 CENTRAL AVE E, Wiggins, MS 39577

Other Names 1

Doing Business AsCoastal Family Health Pharmacy Wiggins

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 25D2310754

Coastal Family Health Center-Wiggins Clinic · Wiggins, MS
Active · expires Sep 9, 2026
CLIA Number25D2310754
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 10, 2024
Certificate Expiration DateSeptember 9, 2026
Laboratory DirectorShana Broussard
Laboratory Phone(601) 385-0077
Laboratory LocationCoastal Family Health Center-Wiggins Clinic1407 Central Avenue East, Wiggins, MS 39577
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 25D2139022

Coastal Family Health Center Mobile Care · Gulfport, MS
Active · expires Oct 29, 2027
CLIA Number25D2139022
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 30, 2025
Certificate Expiration DateOctober 29, 2027
Laboratory DirectorRebecca Ramirez
Laboratory Phone(228) 364-8944
Laboratory LocationCoastal Family Health Center Mobile Care10467 Corporate Drive, Gulfport, MS 39503
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Federally Qualified Health Center (FQHC))
1407 CENTRAL AVE E
WIGGINS, MS 39577

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coastal Family Health Center, Inc's NPI number?

The NPI number for Coastal Family Health Center, Inc is 1003646951. It was assigned to this organization in the NPPES registry on August 6, 2024. The provider is doing business as Coastal Family Health Pharmacy Wiggins.

Where is Coastal Family Health Center, Inc located?

Coastal Family Health Center, Inc is located at 1407 Central Ave E, Wiggins, MS 39577. The listed phone number is (601) 385-0077.

What is Coastal Family Health Center, Inc's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Coastal Family Health Center, Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Coastal Family Health Center, Inc accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 41 other insurers list Coastal Family Health Center, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Coastal Family Health Center, Inc was last updated on November 6, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.