NPIMap

Organization Active NPI

Coastal Pharmacies, LLC

Doing business as Waldport Drug and Gift #1187

  • Pharmacy
  • Waldport, OR
National Provider Identifier
1992863286
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
RP0001011CS Issued in OR
Legal business name
COASTAL PHARMACIES, LLC
Doing business as
Waldport Drug and Gift #1187
Practice address
110 SW Highway 101
Waldport, OR 97394-3035
Phone
(541) 563-4848
Fax
(541) 563-4747
NPI assigned
Dec 5, 2006
Last updated
Dec 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Kristi VeisNPI 1386986818
Title
VP of Pharmacy
Phone
(503) 507-6073

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X RP0001011CS OR Primary

Addresses

Primary practice location

110 SW Highway 101
Waldport, OR 97394-3035

Mailing address

916 W Evergreen Blvd
Vancouver, WA 98660-3035
Phone (360) 213-2236

Other practice location 1

110 SW Arrow St
Waldport, OR 97394-3032
Phone (541) 563-4848

Other names 1

  • Waldport Drug and Gift #1187 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041102001236 OR Part B Supplier - Mass Immunization (Roster Biller Only) 9234191149 7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Corvallis, OR; Lebanon, OR; Silverton, OR; Sisters, OR
O20121019000672 OR Part B Supplier - Mass Immunization (Roster Biller Only) 5294985602 1 other NPI on this enrollment
Practice locations: Waldport, OR

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Coastal Pharmacies LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

24991 Highway 126
Veneta, OR 97487
Phone (541) 935-2201

110 SW Highway 101
Waldport, OR 97394
Phone (541) 563-4848

180 NW Highway 101
#1187
Waldport, OR 97394
Phone (541) 563-4848

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1992863286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 W EVERGREEN BLVD",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603035",
            "telephone_number": "360-213-2236",
            "fax_number": "360-213-2238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SW HIGHWAY 101",
            "city": "WALDPORT",
            "state": "OR",
            "postal_code": "973943035",
            "telephone_number": "541-563-4848",
            "fax_number": "541-563-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 SW Arrow St",
            "address_purpose": "LOCATION",
            "city": "Waldport",
            "state": "OR",
            "postal_code": "973943032",
            "country_code": "US",
            "telephone_number": "541-563-4848",
            "fax_number": "541-563-4747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COASTAL PHARMACIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "VEIS",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_title_or_position": "VP OF PHARMACY",
        "authorized_official_telephone_number": "503-507-6073"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "OR",
            "license": "RP0001011CS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Waldport Drug and Gift #1187",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Waldport Drug and Gift #1187",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldport, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.