Individual provider Active NPI

Michael Edward Coast, RPH,BCGP

  • Pharmacist
  • Cimarron, KS
National Provider Identifier
1790835833
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
1-12281 Issued in KS
Practice address
100 West Ave a
Suite B
Cimarron, KS 67835-0191
Phone
(620) 855-0095
Fax
(620) 855-3411
NPI assigned
Jan 11, 2007
Last updated
Feb 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 1-12281 KS Primary
Geriatric Pharmacist 1835G0303X 1-12281 KS

Addresses

Primary practice location

100 West Ave a
Suite B
Cimarron, KS 67835-0191

Mailing address

307 West Canal St
PO Box 191
Cimarron, KS 67835-0191
Phone (620) 855-3693

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
1-12281KSMDGeriatric Pharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Hodgeman County Pharmacy LLC Current Accepting new patients
Hodgeman County Pharmacy LLC Current 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": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1790835833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WEST CANAL ST",
            "address_2": "PO BOX 191",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350191",
            "telephone_number": "620-855-3693",
            "fax_number": "620-855-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST AVE A",
            "address_2": "SUITE B",
            "city": "CIMARRON",
            "state": "KS",
            "postal_code": "678350191",
            "telephone_number": "620-855-0095",
            "fax_number": "620-855-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAST",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "credential": "RPH,BCGP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KS",
            "license": "1-12281",
            "primary": true
        },
        {
            "code": "1835G0303X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Geriatric",
            "state": "KS",
            "license": "1-12281",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cimarron, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.