SOUTHERN CANCER CENTER, PC
NPI 1619215381
Pharmacy in Daphne, AL

Q: What is Southern Cancer Center, PC's NPI number?

The NPI number for Southern Cancer Center, PC is 1619215381. It was assigned to this organization in the NPPES registry on January 30, 2013. The provider is doing business as Coastal Pharmacy LLC and Southern Cancer Center, PC dba Coastal Pharmacy LLC.

Q: What is Southern Cancer Center, PC's specialty?

The primary specialty registered for this NPI is Pharmacy with taxonomy code 333600000X.

Active since January 30, 2013CLIA 01D2063463 · Certificate of Compliance

29653 ANCHOR CROSS BLVD, SUTIE A 101, DAPHNE, AL 36526(251) 607-5061(251) 607-5062 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Jul 24, 2023, Feb 15, 2017, Jan 24, 2017 (3 updates tracked since 2017).

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About Southern Cancer Center, Pc NPPES

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

SOUTHERN CANCER CENTER, PC (NPI 1619215381), doing business as Coastal Pharmacy Llc, is a healthcare organization registered as a pharmacy in Daphne, Alabama and active in the NPI registry since January 2013. The organization holds a CLIA Certificate of Compliance certificate valid through April 9, 2028 and lists Lauren Pettis, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1619215381

Entity TypeOrganization

Primary Taxonomy333600000X

Legal Business NameSOUTHERN CANCER CENTER, PC

Location Address29653 ANCHOR CROSS BLVD, SUTIE A 101Daphne, AL 36526-9594

Mailing Address29653 Anchor Cross Blvd Ste A101Daphne, AL 36526-9594 · (251) 607-5061 · Fax (251) 607-5062

Phone(251) 607-5061

Fax(251) 607-5062

Organization SubpartNo

Authorized OfficialLauren PettisExecutive Director · (251) 625-6896

Enumeration DateJanuary 30, 2013

Last NPPES UpdateSeptember 29, 20253 updates tracked since enumeration

NPPES CertifiedSeptember 29, 2025

✔ NPI 1619215381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPharmacySuppliers

Taxonomy Code333600000X

Definition

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.

Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X

Also ListedPharmacy · Specialty PharmacyTaxonomy 3336S0011X

29653 ANCHOR CROSS BLVD, Daphne, AL 36526

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Other Names 2

Doing Business AsCoastal Pharmacy Llc

Doing Business AsSouthern Cancer Center, Pc Dba Coastal Pharmacy Llc

Other Identifiers 1

Other0138455Ncpdp Provider Identification Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

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 of Compliance 01D2063463

Southern Cancer Center PC · Foley, AL

Active · expires Apr 9, 2028

CLIA Number01D2063463

Laboratory TypePhysician Office

Certificate Effective DateApril 10, 2026

Certificate Expiration DateApril 9, 2028

Laboratory DirectorMs. Valanita H. Schnyder

Laboratory Phone(251) 625-6896

Laboratory LocationSouthern Cancer Center PC669 S Mckenzie Street, Suite 103, Foley, AL 36535

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Medical Equipment Supplier Medicare DMEPOS 4

Medicare supplier enrollment and the product categories Coastal Pharmacy carries, from the Medicare DMEPOS supplier directory.

Coastal Pharmacy

DMEPOS supplier · Daphne, ALOperated by Southern Cancer Center PC

✔

Accepts Medicare assignment

Coastal Pharmacy agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20568257

Medicare Participant SinceMarch 1, 2007

Supplier Location29653 Anchor Cross Blvd # A-101Daphne, AL 36526

Phone(251) 607-5061

Supplier Specialties

Pharmacy

Medicare Product Categories

Epoetin

Epoetin is a man-made version of human erythropoietin (EPO)

Immunosuppressive Drugs

Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant

Oral Anticancer Drugs

FDA anticancer drugs

Oral Antiemetic Drugs

FDA antiemetic drugs

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 14

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

BRITTANY HOLLEY CASE M.D.

Internal Medicine (Medical Oncology)