Coastal Pharmacy, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

020913 Issued in GA

Legal business name

COASTAL PHARMACY, INC.

Doing business as

Hinesville Pharmacy

Practice address

481 Elma G Miles Pkwy
Hinesville, GA 31313-4006

Phone

(912) 876-8125

Fax

(912) 876-4387

NPI assigned

Sep 8, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Alex S Tucker, PHARMDNPI 1134225212

Title

Pharmacist

Phone

(912) 756-3331

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Hinesville Pharmacy Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alex Shane Tucker

  • Pharmacist
  • Richmond Hill, GA
  • NPI 1134225212
  NPD Authorized official
• Jodie Marie Lasseter Tucker, PHARMD

  • Pharmacist
  • Hinesville, GA
  • NPI 1184630287
  NPD

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756339200000",
    "number": "1184618894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1060",
            "city": "RICHMOND HILL",
            "state": "GA",
            "postal_code": "313241060",
            "telephone_number": "912-756-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 ELMA G MILES PKWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313134006",
            "telephone_number": "912-876-8125",
            "fax_number": "912-876-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "912-756-3331",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "020913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NABP",
            "identifier": "1104075",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119106408A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hinesville Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Jennifer Close, NP
• Coastal Health District
• Coastal Medical Arts, LLC
• Coastal Medical Specialists
• Coastal Orthopaedics and Sports Medicine Center
• Coastal Physicians Alliance, LP
• Shacari Cobb
• Wanda Lea Cochran
• Rebecca Leah Coefield-Floyd, M.D.
• Elizabeth Colburn

• Pharmacist in Hinesville, GA
• Providers in Hinesville, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.