Tri-Coast Pharmacy, Inc.

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

25289 Issued in FL

Legal business name

TRI-COAST PHARMACY, INC.

Doing business as

Tri-Coast Pharmacy, Inc.

Practice address

14125 US Highway 1
Juno Beach, FL 33408-1425

Phone

(561) 776-7510

Fax

(561) 776-7522

NPI assigned

Aug 16, 2011

Last updated

Jan 18, 2017By 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

Darshana Patel

Title

General Manager

Phone

(561) 776-7510

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Tri-Coast Pharmacy, Inc. Doing business as

Locations

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1841579224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14125 US HIGHWAY 1",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081425",
            "telephone_number": "561-776-7510",
            "fax_number": "561-776-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14125 US HIGHWAY 1",
            "city": "JUNO BEACH",
            "state": "FL",
            "postal_code": "334081425",
            "telephone_number": "561-776-7510",
            "fax_number": "561-776-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-COAST PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-16",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DARSHANA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "561-776-7510"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "FL",
            "license": "25289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2131462",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Coast Pharmacy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marta Sztano, LMT
• Katherine Soo Tian Tan
• Selena Blossom Taylor, LICENSED MASSAGE THE
• The Human Potential Center
• Jaime Lynn Thomas, M.S. CCC-SLP
• Sandra M Urquhart, LMT
• Michele Vargas, LOMOT
• Kenneth Walker
• Patricia Kay Warner, OCCUPATIONAL THERAPI
• Jennifer Ann Wasserman, LMT

• Compounding Pharmacy in Juno Beach, FL
• Providers in Juno Beach, FL by specialty
• Compounding Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.