Brice Coffman, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

42415 Issued in TX

Practice address

1420 N University Dr
Nacogdoches, TX 75961-4221

Phone

(936) 564-0800

Fax

(936) 564-0700

NPI assigned

Jul 21, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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 and National Provider Directory roles.

• Brookshire Brothers Inc

  • Community/Retail Pharmacy
  • Nacogdoches, TX
  • NPI 1225137540
  NPD (past)
• Brookshire Brothers Inc

  • Community/Retail Pharmacy
  • Jarrell, TX
  • NPI 1396615183
  NPD (past)

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

{
    "created_epoch": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626825600000",
    "number": "1215500780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614221",
            "telephone_number": "936-564-0800",
            "fax_number": "936-564-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N UNIVERSITY DR",
            "city": "NACOGDOCHES",
            "state": "TX",
            "postal_code": "759614221",
            "telephone_number": "936-564-0800",
            "fax_number": "936-564-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "BRICE",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-21",
        "last_updated": "2021-07-21",
        "certification_date": "2021-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TX",
            "license": "42415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "1420 N University Dr",
            "city": "Nacogdoches",
            "state": "TX",
            "country_code": "US",
            "postal_code": "759614221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cline Family Practice
• Eric A Cline, MD
• Mark A Cline, M.D.
• Rachel L Cline
• John R Cody, RPH
• Dennis Wayne Coffman, MD
• Quincy D Coleman
• Sandra Benavides Collier, RPH
• Adriana Kei Collins, LPC-ASSOCIATE
• Colon & Rectal Clinic of East Texas

• Pharmacist in Nacogdoches, TX
• Providers in Nacogdoches, TX by specialty
• Pharmacist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.