Coastal Medical Supply, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

COASTAL MEDICAL SUPPLY, LLC

Practice address

156 N County Highway 393
Santa Rosa Beach, FL 32459-5349

Phone

(850) 250-0887

NPI assigned

Feb 4, 2015

Organization subpart

No

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

Authorized official

Name

John W Roberts

Title

Owner

Phone

(850) 250-0887

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1423008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423008000000",
    "number": "1366832891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 N COUNTY HIGHWAY 393",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595349",
            "telephone_number": "850-250-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 N COUNTY HIGHWAY 393",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324595349",
            "telephone_number": "850-250-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL SUPPLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-04",
        "last_updated": "2015-02-04",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-250-0887"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Thomas Chandler, M.D.
• Michelle Simone Chellew, DPT
• Elvira Chiccarelli, DDS
• Children's Volunteer Health Network Inc.
• Christlike Senior Care LLC
• Coastal Specialty Pharmacy LLC
• Coastline Neuro LLC
• Madison Marie Cochensparger
• Morris Wayne Cochran, M.D.
• Comfort Dental Santa Rosa

• Durable Medical Equipment & Medical Supplies in Santa Rosa Beach, FL
• Providers in Santa Rosa Beach, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2015; 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.