Robert L Coffman Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

41934 Issued in SC

Practice address

2709 Church St Ste a
Conway, SC 29526-4440

Phone

(843) 365-0301

NPI assigned

Jun 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1265092720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2647 OPHELIA WAY",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295776788",
            "telephone_number": "843-293-0577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2709 CHURCH ST STE A",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295264440",
            "telephone_number": "843-365-0301"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10820 Kings Rd",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295726070",
            "country_code": "US",
            "telephone_number": "843-449-0508",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2751 Beaver Run Blvd",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295755385",
            "country_code": "US",
            "telephone_number": "843-215-3856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COFFMAN",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "41934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST LICENCE",
            "identifier": "41934",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PHARMACIST LICENCE",
            "identifier": "RP037337L",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coastal Urology Center, PA
• Coastline Ambulance LLC
• John Oliver Cochran, D.C.
• Rebecca Marie Cochran, MSW
• John Michael Coffman, RPH
• Lauren E Colbert
• Deborah Cole
• Thea S Collin, MS,PNP,CS
• Andra Pasca Collins, AGACNP-BC
• Rachel M Collins, FNP-BC

• Pharmacist in Conway, SC
• Providers in Conway, SC by specialty
• Pharmacist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.