COASTAL MEDICAL, INC.
NPI 1073655379
Non-Pharmacy Dispensing Site in Providence, RI
- Organization
- Non-Pharmacy Dispensing Site
About COASTAL MEDICAL, INC.
This page provides the complete NPI Profile along with additional information for Coastal Medical, Inc., a provider established in Providence, Rhode Island operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1073655379 assigned on February 2007. The practitioner's primary taxonomy code is 332900000X with license number MD13369 (RI). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)
- NPI
- 1073655379 Verify this NPI
- Provider Name
- COASTAL MEDICAL, INC.
- Entity Type
- Organization
- Location Address
- 400 RESERVOIR AVE PROVIDENCE, RI 02907
- Location Phone
- (401) 781-2400
- Mailing Address
- 5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
- Mailing Phone
- (858) 625-2990
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 02-13-2007
- Last Update Date
- 11-07-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Non-Pharmacy Dispensing Site
- Taxonomy Code
- 332900000X
- Type
- Suppliers
- License No.
- MD13369
- License State
- RI
- Taxonomy Description
- 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.)
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Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
PROVIDENCE, RI 02907
PROVIDENCE, RI 02907
PROVIDENCE, RI 02907
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073655379, enumerated as an "organization" on February 13, 2007.
The provider is located at 400 RESERVOIR AVE PROVIDENCE, RI 02907 and the phone number is (401) 781-2400.
Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
