East Coast Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24139 Issued in FL

Legal business name

EAST COAST PHARMACY LLC

Doing business as

Century Pharmacy

Practice address

695 N Washington Ave
Unit 101
Titusville, FL 32796-2101

Phone

(321) 747-0600

Fax

(321) 385-2180

NPI assigned

Mar 18, 2009

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nitin Aggarwal

Title

Owner/Manager/Ao

Phone

(352) 213-4295

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Century Pharmacy Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Deepak Aggarwal, RPH

  • Pharmacist
  • Titusville, FL
  • NPI 1710184312
  NPD
• Christopher George Lent, BPHARM

  • Pharmacist
  • Titusville, FL
  • NPI 1669813143
  NPD (past)

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1386885515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 N WASHINGTON AVE",
            "address_2": "UNIT 101",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962101",
            "telephone_number": "321-747-0600",
            "fax_number": "321-385-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 N WASHINGTON AVE",
            "address_2": "UNIT 101",
            "city": "TITUSVILLE",
            "state": "FL",
            "postal_code": "327962101",
            "telephone_number": "321-747-0600",
            "fax_number": "321-385-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "NITIN",
        "authorized_official_title_or_position": "OWNER/MANAGER/AO",
        "authorized_official_telephone_number": "352-213-4295"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2121443",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001490800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Century Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Retail Pharmacy in Titusville, FL
• Providers in Titusville, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.