Active NPI
Alexandra Coults, PHARMD., RPH
- Pharmacist
- Redwood City, CA
National Provider Identifier
1649752239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 78662
- Practice address
- 1039 El Camino Real
Redwood City, CA 94063-1690 - Phone
- (650) 780-9910
- NPI assigned
- Aug 30, 2018
- Last updated
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 238236 | MA | |
| Pharmacist | 183500000X | 78662 | CA | Primary |
Addresses
Primary practice location
1039 El Camino Real
Redwood City, CA 94063-1690
Mailing address
1200 E Hillsdale Blvd Apt 11B
Foster City, CA 94404-1205
Phone (978) 869-3618
Other practice location 1
1871 El Camino Real
Burlingame, CA 94010-3220
Phone (650) 692-5065 ext. 2
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy, Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238236 | MA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Longs Drug Stores California LLC | Past | Accepting new patients | |
| Longs Drug Store California LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1649752239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 E HILLSDALE BLVD APT 11B",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944041205",
"telephone_number": "978-869-3618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1039 EL CAMINO REAL",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940631690",
"telephone_number": "650-780-9910"
}
],
"practiceLocations": [
{
"address_1": "1871 El Camino Real",
"address_purpose": "LOCATION",
"city": "Burlingame",
"state": "CA",
"postal_code": "940103220",
"country_code": "US",
"telephone_number": "650-692-5065 x2",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COULTS",
"first_name": "ALEXANDRA",
"name_prefix": "Dr.",
"credential": "PHARMD., RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "238236",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "78662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redwood City, CA
- Michael Costeines, PH.D.
- Kimberly Cotton
- Shanelle Marie Cotton
- Noe Coughenour
- Asa E Coulter
- County of San Mateo (Maguire Correctional Facility)
- County of San Mateo (San Mateo Medical Center)
- County of San Mateo (Shasta)
- County of San Mateo (San Mateo Medical Center)
- County of San Mateo (Correctional Health Services - Maguire)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.