Coastal Care Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

08384 Issued in NC

Legal business name

COASTAL CARE PHARMACY INC

Doing business as

Medical Park Pharmacy West

Practice address

278 Hwy 24
Ste M
Morehead City, NC 28557

Phone

(252) 726-0279

Fax

(252) 726-0792

NPI assigned

Jul 30, 2006

Last updated

Dec 19, 2016By 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

Fletcher Johnston, PHARMDNPI 1053601948

Title

Owner

Phone

(252) 726-0279

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• MEDICAL PARK PHARMACY WEST Doing business as

Practitioners 1

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.

• Fletcher Johnston, PHARM D

  • Pharmacist
  • Morehead City, NC
  • NPI 1053601948
  Authorized official Same address or phone

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1730194333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "278 HWY 24",
            "address_2": "STE M",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-726-0279",
            "fax_number": "252-726-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "278 HWY 24",
            "address_2": "STE M",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "28557",
            "telephone_number": "252-726-0279",
            "fax_number": "252-726-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CARE PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "FLETCHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-726-0279",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "08384",
            "primary": true
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0165422",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2070226",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MEDICAL PARK PHARMACY WEST",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Page Chewning
• Angela Nichole Chigos-White, PT, DPT
• Sarah Jane Chleborowicz, MSN, FNP-C
• Christopher D Bradley DDS PA
• Susan Winstead Clarke, FNP
• Coastal Care Pharmacy Inc (Medical Park Pharmacy West)
• Coastal Carolina Health Care PA (CCHC Morehead City Family Practice)
• Coastal Carolina Professional Counseling Services, PLLC
• Coastal Dentistry
• Coastal Eye Clinic PA

• Community/Retail Pharmacy in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.