Medcoast Pharmacy Corp

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

MEDCOAST PHARMACY CORP

Doing business as

MEDCOAST PHARMACY

Practice address

2040 Glenoaks Blvd Ste C
San Fernando, CA 91340-1660

Phone

(747) 253-7306

Fax

(747) 253-7356

NPI assigned

Apr 3, 2023

Organization subpart

No

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

Authorized official

Name

Nima Nourmand, PHARM DNPI 1831752179

Title

President/Ceo/Cfo/Secretary/Directo

Phone

(747) 253-7306

Specialties & licenses 2

Addresses

Other names 1

• MEDCOAST PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

Medicare medical equipment & supply locations

Locations

Practitioners 1

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

• Nima Nourmand

  • Pharmacist
  • Camarillo, CA
  • NPI 1831752179
  NPD Authorized official

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1235834755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2040 GLENOAKS BLVD STE C",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401660",
            "telephone_number": "747-253-7306",
            "fax_number": "747-253-7356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 GLENOAKS BLVD STE C",
            "city": "SAN FERNANDO",
            "state": "CA",
            "postal_code": "913401660",
            "telephone_number": "747-253-7306",
            "fax_number": "747-253-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCOAST PHARMACY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "NOURMAND",
        "authorized_official_first_name": "NIMA",
        "authorized_official_title_or_position": "PRESIDENT/CEO/CFO/SECRETARY/DIRECTO",
        "authorized_official_telephone_number": "747-253-7306",
        "authorized_official_credential": "PHARM D"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDCOAST PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maya Chiropractic Center Inc
• Antonio Eduardo Maya, D.C.
• Karen Maya
• Afsaneh Mazaheri-Sichani
• Jailene Stacey Mazariegos
• Paul Medina
• Sara Medina, REGISTERED NURSE
• Wendy Aguilar Medina
• Mednova Partners LLC
• Daisy Melendez

• Community/Retail Pharmacy in San Fernando, CA
• Providers in San Fernando, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.