COASTAL PLAZA PHARMACY LLC
NPI 1568032480
Pharmacy in League City, TX

Active since July 01, 2021
501 GULF FWY S STE 108, LEAGUE CITY, TX 77573(713) 343-2299 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Pharmacy
  • Accepts Insurance

About COASTAL PLAZA PHARMACY LLC

This page provides the complete NPI Profile along with additional information for Coastal Plaza Pharmacy Llc, a provider established in League City, Texas operating as a Pharmacy. The healthcare provider is registered in the NPI registry with number 1568032480 assigned on July 2021. The practitioner's primary taxonomy code is 333600000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Antony Mcdermott-rotonardo (Managing Officer)

NPI
1568032480 Verify this NPI
Provider Name
COASTAL PLAZA PHARMACY LLC
Entity Type
Organization
Location Address
501 GULF FWY S STE 108 LEAGUE CITY, TX 77573
Location Phone
(713) 343-2299
Mailing Address
501 GULF FWY S STE 108 LEAGUE CITY, TX 77573
Mailing Phone
(713) 343-2299
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-01-2021
Last Update Date
07-01-2021
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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

Pharmacy

Taxonomy Code
333600000X
Type
Suppliers
Taxonomy Description
A facility used by pharmacists for the compounding and dispensing of medicinal preparations and other associated professional and administrative services. A pharmacy is a facility whose primary function is to store, prepare and legally dispense prescription drugs under the professional supervision of a licensed pharmacist. It meets any licensing or certification standards set forth by the jurisdiction where it is located.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Select by Medica Bronze $0 Copay PCP Visits - EPO
  • Select by Medica Bronze Share - EPO
  • Select by Medica Expanded Bronze Standard - EPO
  • Select by Medica Gold $0 Copay PCP Visits - EPO
  • Select by Medica Gold Share - EPO
  • Select by Medica Gold Standard - EPO
  • Select by Medica Silver $0 Copay PCP Visits - EPO
  • Select by Medica Silver Share - EPO
  • Select by Medica Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANTONY MCDERMOTT-ROTONARDO

Authorized Official Title
MANAGING OFFICER
Authorized Official Phone
(713) 343-2299

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568032480, enumerated as an "organization" on July 01, 2021.

The provider is located at 501 GULF FWY S STE 108 LEAGUE CITY, TX 77573 and the phone number is (713) 343-2299.

Pharmacy with taxonomy code 333600000X.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.