Coastal Bend Cancer Center Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COASTAL BEND CANCER CENTER PHARMACY LLC

Practice address

1625 Rodd Field Rd Ste 100-a
Corpus Christi, TX 78412-4926

Phone

(361) 561-5843

Fax

(361) 883-1484

NPI assigned

Nov 19, 2019

Last updated

Nov 19, 2019By 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

Dr. Ajay Sehgal, MDNPI 1164529806

Title

Manager

Phone

(361) 887-0067

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 7

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.

• Ajay Sehgal, MD

  • Hematology & Oncology Physician
  • Corpus Christi, TX
  • NPI 1164529806
  NPD Authorized official
• Travis Thompson, M.D.

  • Radiation Oncology Physician
  • Corpus Christi, TX
  • NPI 1164472676
  NPD
• Yvonne Socorro Manalo, MD

  • Hematology & Oncology Physician
  • Corpus Christi, TX
  • NPI 1619956596
  NPD (past)
• Bonnie R Ross, RN, FNP

  • Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1891891602
  NPD (past)
• Emile Chawki Salloum, MD

  • Hematology & Oncology Physician
  • Corpus Christi, TX
  • NPI 1144209024
  NPD (past)
• Gloria Sembrano, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1801401823
  NPD (past)
• Alfonso Villamil, MD

  • Hematology & Oncology Physician
  • Corpus Christi, TX
  • NPI 1669451548
  NPD (past)

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1558907162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81346",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784681346",
            "telephone_number": "361-887-0067",
            "fax_number": "361-883-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RODD FIELD RD STE 100-A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124926",
            "telephone_number": "361-561-5843",
            "fax_number": "361-883-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL BEND CANCER CENTER PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "SEHGAL",
        "authorized_official_first_name": "AJAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "361-887-0067",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Bend Academic Physcians PA
• Coastal Bend Ambulatory Surgical Center Inc.
• Coastal Bend Anesthesia, PLLC
• Coastal Bend Area Support Services, LLC
• Coastal Bend Behavioral Clinic
• Coastal Bend Cancer Center, PA
• Coastal Bend Center for Independent Living
• Coastal Bend Council of Governments
• Coastal Bend Counseling Associates
• Coastal Bend Emergency Services

• Community/Retail Pharmacy in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Community/Retail Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.