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1750493672 NPI number — COASTAL PHARMACEUTICAL SERVICES CORPORATION

NPI Number: 1750493672
Health Care Provider/Practitioner: COASTAL PHARMACEUTICAL SERVICES CORPORATION

Information about “1750493672” NPI (COASTAL PHARMACEUTICAL SERVICES CORPORATION) exists in 1750493672 in HTML format HTML  |  1750493672 in plain Text format TXT  |  1750493672 in PDF (Portable Document Format) PDF  |  1750493672 in an XML format XML  formats.

NPI Number : 1750493672 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750493672",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "Y",
    "ParentOrgLBN": "AMERITA, INC.",
    "ParentOrgTIN": null,
    "OrgName": "COASTAL PHARMACEUTICAL SERVICES CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 223017",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PITTSBURGH",
    "MailingAddressStateName": "PA",
    "MailingAddressPostalCode": "15251-2017",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "800-477-7375",
    "MailingAddressFaxNumber": "877-676-0493",
    "FirstLinePracticeLocationAddress": "1833 PORTOLA RD UNITS K & L",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VENTURA",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93003-6435",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "805-981-2500",
    "PracticeLocationAddressFaxNumber": "805-981-8447",
    "EnumerationDate": "08/31/2006",
    "LastUpdateDate": "10/02/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KATEN",
    "AuthorizedOfficialFirstName": "ALEX",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "CFO",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "720-282-2377",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "332B00000X",
          "TaxonomyName": "Durable Medical Equipment & Medical Supplies",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "332BP3500X",
          "TaxonomyName": "Parenteral & Enteral Nutrition Supplies (DME)",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336S0011X",
          "TaxonomyName": "Specialty Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "335G00000X",
          "TaxonomyName": "Medical Foods Supplier",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "3336H0001X",
          "TaxonomyName": "Home Infusion Therapy Pharmacy",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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