Coastal Pharmacy LLC

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

Legal business name

COASTAL PHARMACY LLC

Doing business as

Coastal Pharmacy & Wellness

Practice address

29 Marginal Way
Suite 4
Portland, ME 04101-1914

Phone

(207) 899-0886

Fax

(207) 899-0826

NPI assigned

Nov 4, 2008

Last updated

May 7, 2019By 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

Cassi Q Brooks

Title

Principal

Phone

(207) 899-0886

Specialties & licenses 2

Addresses

Other names 1

• Coastal Pharmacy & Wellness Doing business as

Locations

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.

• Kimberly Lauren Aines, PHARMD

  • Pharmacist
  • Portland, ME
  • NPI 1891998969
  NPD (past)

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557187200000",
    "number": "1811140841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 MARGINAL WAY",
            "address_2": "SUITE 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011914",
            "telephone_number": "207-899-0886",
            "fax_number": "207-899-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 MARGINAL WAY",
            "address_2": "SUITE 4",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011914",
            "telephone_number": "207-899-0886",
            "fax_number": "207-899-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2019-05-07",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "CASSI",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "207-899-0886"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Pharmacy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Pharmacy & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paula Cluney, ND
• Susan Coan, LCPC
• Coastal Behavioral Health, LLC
• Coastal Care LLC
• Coastal Maine Counseling LLC
• Gillian Coates, MD
• Roy A Cobean, MD
• Denise Mary Cobleigh, PTA
• Danielle M Cochrane, DPT
• Robert G Cochrane, DPT

• Compounding Pharmacy in Portland, ME
• Providers in Portland, ME by specialty
• Compounding Pharmacy in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.