Christie Lynne Coffman, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

42792 Issued in SC

Practice address

3650 Walton Dr
Myrtle Beach, SC 29577-6775

Phone

(843) 839-9875

NPI assigned

Mar 1, 2007

Last updated

Jul 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-5923

  • Pharmacy
  • Myrtle Beach, SC
  • NPI 1659735785
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1245368067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 MIKITA DR",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295755514",
            "telephone_number": "814-673-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 WALTON DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776775",
            "telephone_number": "843-839-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "CHRISTIE",
        "middle_name": "LYNNE",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP040943L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RPI000259",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "42792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn Patterson Cobbs, M.D.
• Leonard James Cochrane III, DMD
• Rebecca Diane Cody, MD
• Michael Reece Cofer, DDS
• Dawn Marie Coffin, MSN-FNP
• Brianna Danielle Coggins
• Cognitive Behavioral Clinic LLC
• Alan Bruce Cohen, DO
• Alan Neal Cohen, C.PED / CFO
• Anna Grace Cohen, DO

• Pharmacist in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.