NPIMap

Organization Active NPI

Coastal Meds, LLC

  • Compounding Pharmacy
  • Biloxi, MS
National Provider Identifier
1144569658
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Compounding PharmacyTaxonomy code 3336C0004X
License
07783/02.2 Issued in MS
Legal business name
COASTAL MEDS, LLC
Practice address
1759 Medical Park Dr
Suite C
Biloxi, MS 39532-2154
Phone
(228) 388-1327
Fax
(228) 388-1329
NPI assigned
Feb 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Rickey ChanceNPI 1437264504
Title
Corporate Officer/Owner
Phone
(228) 388-1327

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Compounding Pharmacy 3336C0004X 07783/02.2 MS Primary

Addresses

Primary practice location

1759 Medical Park Dr
Suite C
Biloxi, MS 39532-2154

Mailing address

1759 Medical Park Dr
Suite C
Biloxi, MS 39532-2154
Phone (228) 388-1327

National Provider Directory

National Provider Directory
Tax ID family
Coastal Meds2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1759 Medical Park Dr
#C
Biloxi, MS 39532
Phone (228) 388-1327

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1359936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1144569658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1759 MEDICAL PARK DR",
            "address_2": "SUITE C",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322154",
            "telephone_number": "228-388-1327",
            "fax_number": "228-388-1329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1759 MEDICAL PARK DR",
            "address_2": "SUITE C",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395322154",
            "telephone_number": "228-388-1327",
            "fax_number": "228-388-1329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-04",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "CHANCE",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_title_or_position": "CORPORATE OFFICER/OWNER",
        "authorized_official_telephone_number": "228-388-1327"
    },
    "taxonomies": [
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MS",
            "license": "07783/02.2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.