MEDICARE: COASSIST PHARMACY, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3336M0002X	Mail Order Pharmacy

General Provider Information

NPI Number	:	1659053874
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COASSIST PHARMACY, LLC

Provider Business Mailing Address
First Line	:	2400 SAND LAKE RD STE 200
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-9100
Country	:	US
Telephone Number	:	877-219-7537
Fax Number	:

Provider Business Practice Location Address
First Line	:	2400 SAND LAKE RD STE 200
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32809-9100
Country	:	US
Telephone Number	:	877-219-7537
Fax Number	:

Authorized Official
Title or Position	:	VP, PHARMACY
Name	:	SEAN MATTHEW JOHNSTON
Credential	:
Telephone Number	:	877-219-7537

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	02/04/2026

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