Organization Active NPI

North Coast Medical Supply, LLC

  • Mail Order Pharmacy
  • Carlsbad, CA
National Provider Identifier
1245259282
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mail Order PharmacyTaxonomy code 3336M0002X
License
PHY46615 Issued in CA
Legal business name
NORTH COAST MEDICAL SUPPLY, LLC
Practice address
2544 Campbell PL Ste 150
Carlsbad, CA 92009-1768
Phone
(800) 730-9887
Fax
(760) 579-7970
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Anthony Alvarez
Title
SVP Operations
Phone
(216) 233-2994

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Customized Equipment (DME) 332BC3200X
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X
Mail Order Pharmacy 3336M0002X PHY46615 CA Primary

Addresses

Primary practice location

2544 Campbell PL Ste 150
Carlsbad, CA 92009-1768

Mailing address

2544 Campbell PL Ste 150
Carlsbad, CA 92009-1768
Phone (800) 730-9887

Other identifiers 2

IdentifierTypeStateIssuer
PHA466150MedicaidCA
5601960OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 2

  • ADVANCED DIABETES SUPPLY Doing business as
  • NORTH COAST MEDICAL SUPPLY, INC. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930016541 CA DME Supplier - PharmacyDME Supplier - Medical Supply Company With Registered Pharmacist 5092929059 Practice locations: Carlsbad, CA

National Provider Directory

National Provider Directory
Tax ID family
North Coast Medical Supply LLC2 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.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Member organizations 7

Organizations listed as members of this organization in the National Provider Directory.

Locations

2544 Campbell Pl
Carlsbad, CA 92009
Phone (760) 476-1812

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1245259282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2544 CAMPBELL PL STE 150",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920091768",
            "telephone_number": "800-730-9887",
            "fax_number": "760-579-7970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2544 CAMPBELL PL STE 150",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920091768",
            "telephone_number": "800-730-9887",
            "fax_number": "760-579-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH COAST MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "SVP OPERATIONS",
        "authorized_official_telephone_number": "216-233-2994"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": false
        },
        {
            "code": "3336M0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Mail Order Pharmacy",
            "state": "CA",
            "license": "PHY46615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA466150",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "5601960",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ADVANCED DIABETES SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ADVANCED DIABETES SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTH COAST MEDICAL SUPPLY, INC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.