Coastal Plaza Pharmacy LLC

Primary specialty

PharmacyTaxonomy code 333600000X

Legal business name

COASTAL PLAZA PHARMACY LLC

Practice address

501 Gulf Fwy S Ste 108
League City, TX 77573-3537

Phone

(713) 343-2299

NPI assigned

Jul 1, 2021

Organization subpart

No

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

Authorized official

Name

Antony McDermott-Rotonardo

Title

Managing Officer

Phone

(713) 343-2299

Specialties & licenses 1

Addresses

Other names 1

• Coastal Plaza Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625097600000",
    "number": "1568032480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 GULF FWY S STE 108",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733537",
            "telephone_number": "713-343-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GULF FWY S STE 108",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775733537",
            "telephone_number": "713-343-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PLAZA PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A",
        "authorized_official_last_name": "MCDERMOTT-ROTONARDO",
        "authorized_official_first_name": "ANTONY",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "713-343-2299"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Plaza Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pharmacy in League City, TX
• Providers in League City, TX by specialty
• Pharmacy in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.