NPIMap

Organization Active NPI

Coastal Pain Management Pompano Dispensary

  • Non-Pharmacy Dispensing Site
  • Pompano Beach, FL
National Provider Identifier
1245408830
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
ME57886 Issued in FL
Legal business name
COASTAL PAIN MANAGEMENT POMPANO DISPENSARY
Practice address
2301 W Sample Rd
Suite 7a
Pompano Beach, FL 33073-3081
Phone
(954) 935-6063
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Cicely D Eason
Title
Executive Admin.
Phone
(954) 935-6063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X ME57886 FL Primary

Addresses

Primary practice location

2301 W Sample Rd
Suite 7a
Pompano Beach, FL 33073-3081

Mailing address

2301 W Sample Rd
Suite 7a
Pompano Beach, FL 33073-3081
Phone (954) 935-6063

National Provider Directory

National Provider Directory
Tax ID family
Coastal Pain Management Delray Dispensary2 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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1245408830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 W SAMPLE RD",
            "address_2": "SUITE 7A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330733081",
            "telephone_number": "954-935-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 W SAMPLE RD",
            "address_2": "SUITE 7A",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330733081",
            "telephone_number": "954-935-6063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PAIN MANAGEMENT POMPANO DISPENSARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "EASON",
        "authorized_official_first_name": "CICELY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE ADMIN.",
        "authorized_official_telephone_number": "954-935-6063"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": "ME57886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.