Organization Active NPI

Coastal Fairhope, LLC

  • Community/Retail Pharmacy
  • Fairhope, AL
National Provider Identifier
1487430591
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
Legal business name
COASTAL FAIRHOPE, LLC
Practice address
19670 Greeno Rd
Fairhope, AL 36532-3840
Phone
(251) 929-9959
Fax
(251) 929-9958
NPI assigned
Sep 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Authorized official

Name
Savanah Paige Carter, PHARMDNPI 1770274011
Title
Pharmacist in Charge
Phone
(228) 218-3518

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X Primary

Addresses

Primary practice location

19670 Greeno Rd
Fairhope, AL 36532-3840

Mailing address

19670 Greeno Rd
Fairhope, AL 36532-3840
Phone (251) 929-9959

Other names 1

  • Coastal Pharmacy Doing business as

National Provider Directory

National Provider Directory

Locations

19670 Greeno Rd
Fairhope, AL 36532
Phone (251) 929-9959

19690 Greeno Rd
Fairhope, AL 36532
Phone (251) 415-1000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701216000000",
    "number": "1487430591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19670 GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323840",
            "telephone_number": "251-929-9959",
            "fax_number": "251-929-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19670 GREENO RD",
            "city": "FAIRHOPE",
            "state": "AL",
            "postal_code": "365323840",
            "telephone_number": "251-929-9959",
            "fax_number": "251-929-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL FAIRHOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-11-29",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "SAVANAH",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "PHARMACIST IN CHARGE",
        "authorized_official_telephone_number": "228-218-3518",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairhope, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.