CRYSTAL COAST PHARMACY NPI 1063478774

NPI Information

NPI: 1063478774
Provider Name: CRYSTAL COAST PHARMACY
Classification: Pharmacist - 183500000X
Entity Type: Organization
Doing Business As: CRYSTAL COAST PHARMACY & HOME MEDICAL
Address: 319 WB MCLEAN BLVD
CAPE CARTERET, NC
ZIP 28584
Phone: (252) 393-3345

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NPI Details

CRYSTAL COAST PHARMACY is a pharmacist in Cape Carteret, NC. The provider is an individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. CRYSTAL COAST PHARMACY NPI is 1063478774. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Crystal Coast Pharmacy & Home Medical.

The provider's business location address is:

319 WB MCLEAN BLVD
CAPE CARTERET, NC
ZIP 28584-516
Phone: (252) 393-3345
Fax: (252) 393-3346

The provider's authorized official is Jeff Albritton .
The authorized official title is Owner and has the following contact phone number (252) 393-3345.

The enumeration date for this NPI number is 4/21/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	183500000X	Pharmacist		8305	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7704096	MEDICAID	NORTH CAROLINA
2	046U8	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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