Organization Active NPI

Coastal Care Pharmacy - Alabaster

  • Community/Retail Pharmacy
  • Alabaster, AL
National Provider Identifier
1457919151
Registry record updated Jan 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COASTAL CARE PHARMACY - ALABASTER
Practice address
7895 Highway 119 Ste 6
Alabaster, AL 35007-7554
Phone
(205) 621-8407
Fax
(844) 270-6744
NPI assigned
May 29, 2019
Organization subpart
Yes
Parent organization
COASTAL CARE PHARMACY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 21, 2020

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

Authorized official

Name
Charles J Shirley
Title
Owner/Partner
Phone
(205) 246-2491

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary
Long Term Care Pharmacy 3336L0003X

Addresses

Primary practice location

7895 Highway 119 Ste 6
Alabaster, AL 35007-7554

Mailing address

7895 Highway 119 Ste 6
Alabaster, AL 35007-7554
Phone (205) 621-8407

Other identifiers 1

IdentifierTypeStateIssuer
237048MedicaidAL

National Provider Directory

National Provider Directory
Part of
Coastal Care Pharmacy LLC

NPI Registry JSON

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

{
    "created_epoch": "1559088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579564800000",
    "number": "1457919151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7895 HIGHWAY 119 STE 6",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350077554",
            "telephone_number": "205-621-8407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7895 HIGHWAY 119 STE 6",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350077554",
            "telephone_number": "205-621-8407",
            "fax_number": "844-270-6744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE PHARMACY - ALABASTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL CARE PHARMACY LLC",
        "enumeration_date": "2019-05-29",
        "last_updated": "2020-01-21",
        "certification_date": "2020-01-21",
        "status": "A",
        "authorized_official_last_name": "SHIRLEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PARTNER",
        "authorized_official_telephone_number": "205-246-2491"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237048",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alabaster, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2020; 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.