Roy Lee Coggin, CPED,COF

Primary specialty

PedorthistTaxonomy code 224L00000X

Practice address

3708 N Main St.
Farmville, NC 27828-1434

Phone

(252) 753-2092

Fax

(252) 753-2499

NPI assigned

Jun 21, 2007

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Farmville Discount Drug, Inc

  • Community/Retail Pharmacy
  • Farmville, NC
  • NPI 1750536694
  NPD (past)
• Farmville Discount Drug, Inc.

  • Community/Retail Pharmacy
  • Farmville, NC
  • NPI 1942201173
  NPD (past)

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1164628806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278280690",
            "telephone_number": "252-753-2092",
            "fax_number": "252-753-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 N MAIN ST.",
            "city": "FARMVILLE",
            "state": "NC",
            "postal_code": "278281434",
            "telephone_number": "252-753-2092",
            "fax_number": "252-753-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGGIN",
        "first_name": "ROY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CPED,COF",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-21",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795254",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7795300",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita M Britt, RPH
• Racheal Latoya Britt
• Lucas Casserlie, PHARMD.
• Clarizen Counseling & Coaching, PLLC
• Benjamin D Clark
• Mandi Danielle Cooke, LCSW, LCAS
• Richard E. Crocker, RPH
• Robert L. Crocker, RPH
• CVS
• D and G Adventures, Inc

• Pedorthist in Farmville, NC
• Providers in Farmville, NC by specialty
• Pedorthist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.