NPIMap

Organization Active NPI

Coastal Specialty Pharmacy LLC

  • Pharmacy
  • Santa Rosa Beach, FL
National Provider Identifier
1598009573
Registry record updated Nov 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
Legal business name
COASTAL SPECIALTY PHARMACY LLC
Practice address
2050 W County Highway 30a
M1-106
Santa Rosa Beach, FL 32459-0187
Phone
(850) 622-3315
NPI assigned
Nov 15, 2012
Last updated
Nov 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2012

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

Authorized official

Name
Joan Ellison, PHARMDNPI 1215524442
Title
MGMR
Phone
(850) 622-3313

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X Primary

Addresses

Primary practice location

2050 W County Highway 30a
M1-106
Santa Rosa Beach, FL 32459-0187

Mailing address

2050 W County Highway 30a
M1-106
Santa Rosa Beach, FL 32459-0187

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352937600000",
    "number": "1598009573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 W COUNTY HIGHWAY 30A",
            "address_2": "M1-106",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 W COUNTY HIGHWAY 30A",
            "address_2": "M1-106",
            "city": "SANTA ROSA BEACH",
            "state": "FL",
            "postal_code": "324590187",
            "telephone_number": "850-622-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL SPECIALTY PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-15",
        "last_updated": "2012-11-15",
        "status": "A",
        "authorized_official_last_name": "ELLISON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "MGMR",
        "authorized_official_telephone_number": "850-622-3313",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.