Coastal Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

COASTAL PHARMACY LLC

Doing business as

Coastal Pharmacy

Practice address

940 E Valley Pkwy Ste K
Escondido, CA 92025-3441

Phone

(442) 257-2151

NPI assigned

Feb 10, 2025

Last updated

Feb 10, 2025By 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

Flora Marie Wade

Title

Managing Member

Phone

(442) 257-2151

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• COASTAL PHARMACY Doing business as

Locations

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

{
    "created_epoch": "1739145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739145600000",
    "number": "1770398422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 E VALLEY PKWY STE K",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253441",
            "telephone_number": "442-257-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 E VALLEY PKWY STE K",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253441",
            "telephone_number": "442-257-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-10",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "FLORA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "442-257-2151"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF PHARMACY",
            "identifier": "PHY59344",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COASTAL PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clinical Physical Therapy,Inc.
• David W Cloyd, M.D.
• CMG Dental Partnership
• CML del Valle Medical Group (Centro Medico del Valle Medical Group)
• Dorothea Diane Coad
• Sheena Cocroft
• Robert Coe, DDS
• Zhanette Hope Coffee, FNP-C, MSN, BSN, RN
• Cara E. Cohen, MD
• Jennifer P Cohen, M.D.

• Community/Retail Pharmacy in Escondido, CA
• Providers in Escondido, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.