Organization Active NPI

Third Coast RX Inc

  • Community/Retail Pharmacy
  • Port Aransas, TX
National Provider Identifier
1043493828
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
25804 Issued in TX
Legal business name
THIRD COAST RX INC
Doing business as
CARTERS PHARMACY
Practice address
600 Cutoff Rd
Ste 16 17
Port Aransas, TX 78373
Phone
(361) 749-6337
Fax
(361) 749-2331
NPI assigned
Dec 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark Carter
Title
Owner
Phone
(561) 215-8984

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 25804 TX Primary

Addresses

Primary practice location

600 Cutoff Rd
Ste 16 17
Port Aransas, TX 78373

Mailing address

600 Cutoff Rd
Ste 16 17
Port Aransas, TX 78373
Phone (361) 749-6337

Other identifiers 1

IdentifierTypeStateIssuer
4547038OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • CARTERS PHARMACY Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263859200000",
    "number": "1043493828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CUTOFF RD",
            "address_2": "STE 16 17",
            "city": "PORT ARANSAS",
            "state": "TX",
            "postal_code": "78373",
            "telephone_number": "361-749-6337",
            "fax_number": "361-749-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CUTOFF RD",
            "address_2": "STE 16 17",
            "city": "PORT ARANSAS",
            "state": "TX",
            "postal_code": "78373",
            "telephone_number": "361-749-6337",
            "fax_number": "361-749-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD COAST RX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2010-01-19",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-215-8984"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "TX",
            "license": "25804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "4547038",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARTERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Aransas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.