Active NPI
Coastal Pharmacies, LLC
Doing business as Pharmacy Express #1183
- Pharmacy
- Waldport, OR
National Provider Identifier
1093144248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- RP0002596CS
- Legal business name
- COASTAL PHARMACIES, LLC
- Doing business as
- Pharmacy Express #1183
- Practice address
- 110 SW Arrow Street
Waldport, OR 97394 - Phone
- (541) 563-6444
- Fax
- (541) 563-6448
- NPI assigned
- Nov 8, 2013
- Last updated
- Mar 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Gina D Garrison
- Title
- Asst Pharmacy Director
- Phone
- (360) 213-2236
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | RP0002596CS | OR | Primary |
Addresses
Primary practice location
110 SW Arrow Street
Waldport, OR 97394
Mailing address
916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone (360) 213-2236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RP0002596CS | Other | OR | RETAIL PHARMACY |
Other names 1
- PHARMACY EXPRESS #1183
National Provider Directory
National Provider Directory- Tax ID family
- Coastal Pharmacies LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383868800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1393977600000",
"number": "1093144248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 W EVERGREEN BLVD",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986603035",
"telephone_number": "360-213-2236",
"fax_number": "360-213-2238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 SW ARROW STREET",
"city": "WALDPORT",
"state": "OR",
"postal_code": "97394",
"telephone_number": "541-563-6444",
"fax_number": "541-563-6448"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COASTAL PHARMACIES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-08",
"last_updated": "2014-03-05",
"status": "A",
"authorized_official_last_name": "GARRISON",
"authorized_official_first_name": "GINA",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "ASST PHARMACY DIRECTOR",
"authorized_official_telephone_number": "360-213-2236",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OR",
"license": "RP0002596CS",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RETAIL PHARMACY",
"identifier": "RP0002596CS",
"state": "OR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "PHARMACY EXPRESS #1183",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Waldport, OR
- Perry James Adams, D.C.
- Behavior and Beyond LLC
- Rodney W Bourdage, O.D.
- Wendy Bramble
- Central Oregon Coast Fire and Rescue District (Central Oregon Coast Fire and Rescue)
- Coastal Pharmacies, LLC (Waldport Drug and Gift #1187)
- Allison Barbara Colman-Pinning
- County of Lincoln (Lincoln County Health & Human Services)
- County of Lincoln
- Alycia E Cummings
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.