John Michael Coffman, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP040017L Issued in PA

Practice address

2709 Church St Ste a
Conway, SC 29526-4440

Phone

(843) 365-0301

Fax

(843) 375-0318

NPI assigned

Jan 27, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pennsylvania CVS Pharmacy, L.L.C.

  dba CVS Pharmacy #05097

  • Pharmacy
  • Titusville, PA
  • NPI 1093818841
  NPD (past)
• Pennsylvania CVS Pharmacy, L.L.C.

  dba Cvs Pharmacy #17901

  • Pharmacy
  • West Chester, PA
  • NPI 1639063571
  NPD (past)

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711756800000",
    "number": "1053942300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 MIKITA DR",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295755514",
            "telephone_number": "814-673-4208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 CHURCH ST STE A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264440",
            "telephone_number": "843-365-0301",
            "fax_number": "843-375-0318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-27",
        "last_updated": "2024-03-30",
        "certification_date": "2024-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42811",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP040017L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Podiatry Associates PA
• Coastal Urology Center, PA
• Coastline Ambulance LLC
• John Oliver Cochran, D.C.
• Rebecca Marie Cochran, MSW
• Robert L Coffman Jr.
• Lauren E Colbert
• Deborah Cole
• Thea S Collin, MS,PNP,CS
• Andra Pasca Collins, AGACNP-BC

• Pharmacist in Conway, SC
• Providers in Conway, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2024; 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.