Coastline Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH30726 Issued in FL

Legal business name

COASTLINE PHARMACY LLC

Practice address

2107 S US Highway 1
Jupiter, FL 33477

Phone

(866) 758-1957

Fax

(866) 766-4183

NPI assigned

Sep 22, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Melville Badway, RPHNPI 1245249465

Title

Managing Member

Phone

(561) 781-0011

Specialties & licenses 2

Addresses

Locations

Practitioners 3

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

• Melville A. Badway, R.PH., CCP

  • Pharmacist
  • Palm Beach Gardens, FL
  • NPI 1245249465
  NPD Authorized official
• Dustin Lee Hedges, PHARM. D.

  • Pharmacist
  • Tampa, FL
  • NPI 1457631301
  NPD
• Ramona Hahn, PHARM D.

  • Pharmacy
  • Jupiter, FL
  • NPI 1417242025
  NPD (past)

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1659820447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 S US HIGHWAY 1",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334777321",
            "telephone_number": "866-758-1957",
            "fax_number": "866-766-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2107 S US HIGHWAY 1",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "33477",
            "telephone_number": "866-758-1957",
            "fax_number": "866-766-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTLINE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "BADWAY",
        "authorized_official_first_name": "MELVILLE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "561-781-0011",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH30726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Dialysis Center, LLC
• Coastal Family Practice and Internal Medicine
• Coastal Internal Medicine of Jupiter, PA
• Coastal Kids Therapy LLC
• Coastal Nephrology & Hypertension Center, PA
• Meshach P Cober, M.D.
• Michelle Coes, LCMHC
• Paul Cofnas, M.D.
• Cogent Healthcare of Pensacola LLC
• Coral N Cohen, DMD

• Community/Retail Pharmacy in Jupiter, FL
• Providers in Jupiter, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.