Provider Type Icon

COASTAL PHARMACY INC. NPI 1184618894


NPI Information

NPI: 1184618894
Provider Name: COASTAL PHARMACY, INC.

Doing Business As: HINESVILLE PHARMACY

Classification: Pharmacist - 183500000X
Entity Type: Organization

CLIA Number: 11D2192620

Address:
481 ELMA G MILES PKWY
HINESVILLE, GA
ZIP 31313
Phone: (912) 876-8125
Get Directions

COASTAL PHARMACY, INC. is a pharmacist in Hinesville, GA. 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. COASTAL PHARMACY, INC. NPI is 1184618894. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hinesville Pharmacy.

The provider's business location address is:

481 ELMA G MILES PKWY
HINESVILLE, GA
ZIP 31313-006
Phone: (912) 876-8125
Fax: (912) 876-4387

The provider's authorized official is Alex S Tucker .
The authorized official title is Pharmacist and has the following contact phone number (912) 756-3331.

The CLIA number assigned to this NPI record is 11D2192620 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/8/2005 and was last updated on 1/6/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1183500000XPharmacist020913GEORGIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1119106408AMEDICAIDGEORGIA
21104075OTHERGEORGIANABP

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.