Coastal Pharmacy Services LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

COASTAL PHARMACY SERVICES LLC

Practice address

190 Greenbrier Blvd Ste 105
Covington, LA 70433-7237

Phone

(985) 900-2416

Fax

(985) 900-2436

NPI assigned

Feb 20, 2019

Organization subpart

Yes

Parent organization

COASTAL PHARMACY SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Hunter Farrar, PHARMD

Title

Owner

Phone

(985) 792-9001

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Coastal Infusion Services Doing business as
• Coastal Pharmacy Services Doing business as

Tax ID family

Coastal Pharmacy Services2 organizations share this tax ID, including this one

Part of

Coastal Pharmacy Services

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Coastal Pharmacy Services LLC

  • Home Infusion Therapy Pharmacy
  • Hattiesburg, MS
  • NPI 1881150324
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Coastal Pharmacy Services LLC

  • Long Term Care Pharmacy
  • Madisonville, LA
  • NPI 1235653916
  NPPES parent name

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

{
    "created_epoch": "1550620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575331200000",
    "number": "1962968404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 HIGHWAY 22 W STE A",
            "city": "MADISONVILLE",
            "state": "LA",
            "postal_code": "704479490",
            "telephone_number": "985-792-9001",
            "fax_number": "985-792-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GREENBRIER BLVD STE 105",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337237",
            "telephone_number": "985-900-2416",
            "fax_number": "985-900-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL PHARMACY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COASTAL PHARMACY SERVICES, LLC",
        "enumeration_date": "2019-02-20",
        "last_updated": "2019-12-03",
        "status": "A",
        "authorized_official_last_name": "FARRAR",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "985-792-9001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206672",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Infusion Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coastal Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Clear Sight Eyecare, LLC
• Clear Sight Optical, LLC
• Grant Dean Clinkingbeard, MD
• CMB Home Care, Inc
• Coastal Infusion Services LLC
• Coastal Renal Partners, LLC
• Brian Carson Cochran, P.T.
• Jordan Cochran
• Frances Coe, PHARMD
• Jennifer Leigh Cohen, PA

• Multi-Specialty Clinic/Center in Covington, LA
• Providers in Covington, LA by specialty
• Multi-Specialty Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.