Karen L. Coyne, R.PH.
Individual provider Active NPI Pharmacist · Nipomo, CA
NPI 1871893370 · NPPES record last updated Oct 30, 2010
Key facts
- NPI
- 1871893370
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 46907 (CA)
- Practice address
- 520 W Tefft St
Nipomo, CA 93444-8946 - Phone
- (805) 931-1860
- NPI assigned
- Oct 30, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46907 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vons Companies Inc | Past | Accepting new patients | |
| Vons Companies Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 46907 | CA | Yes |
Addresses
Primary practice location
520 W Tefft St
Nipomo, CA 93444-8946
Mailing address
520 W Tefft St
Nipomo, CA 93444-8946
Phone (805) 931-1860
Other providers in Nipomo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.