Provider Type Icon

COASTALMED OF FLORIDA LLC NPI 1528202447


NPI Information

NPI: 1528202447
Provider Name: COASTALMED OF FLORIDA LLC

Doing Business As: COASTALMED OF FLORIDA LLC

Classification: Pharmacy - 3336L0003X
Entity Type: Organization

Specialization: Long Term Care Pharmacy

CLIA Number: 10D2192059

Address:
433 N MACARTHUR AVE
PANAMA CITY, FL
ZIP 32401
Phone: (850) 872-8900
Get Directions

COASTALMED OF FLORIDA LLC is a long term care pharmacy pharmacy in Panama City, FL. The provider is a pharmacy that dispenses medicinal preparations delivered to patients residing within an intermediate or skilled nursing facility, including intermediate care facilities for mentally retarded, hospice, assisted living facilities, group homes, and other forms of congregate living arrangements. COASTALMED OF FLORIDA LLC NPI is 1528202447. The provider is registered as an organization entity type.
The provider Is Doing Business As Coastalmed Of Florida Llc.

The provider's business location address is:

433 N MACARTHUR AVE
PANAMA CITY, FL
ZIP 32401-767
Phone: (850) 872-8900
Fax: (850) 872-1321

The provider's authorized official is Leigh Mathes .
The authorized official title is Pharmacy Manager and has the following contact phone number (850) 872-8900.

The CLIA number assigned to this NPI record is 10D2192059 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/22/2009 and was last updated on 10/2/2019.


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
1333600000XPharmacyNo
23336L0003XPharmacyLong Term Care PharmacyPH24009FLORIDAYes

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
12119882OTHERPK

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: 11/14/2023

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.