COASTAL FAMILY HEALTH CENTER, INC. (NPI# 1740417922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740417922 |
| Entity Type | Organization |
| Organization Name | COASTAL FAMILY HEALTH CENTER, INC. |
| Other Organization Name | COASTAL FAMILY HEALTH CENTER - PHARMACY |
| Practice Address |
1025 Division St Ste A Biloxi MS 39530-2906 |
| Mailing Address |
1046 Division St Biloxi MS 39530-2935 |
| Practice Telephone | 2283742494 |
| Practice Fax Number | 2284364258 |
| Mailing Telephone | 2283742494 |
| Mailing Fax Number | 2284364258 |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2017-01-31 |
| Authorized Official Name | RHONDA SMITH (PHARMACIST IN CHARGE) |
| Authorized Official Telephone | 2283942494 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
05118052 | MS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 9013185 | 05 |
| Other Name | Type Code |
|---|---|
| Coastal Family Health Center - Pharmacy | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427364397 | Coastal Family Health Center, Inc. | Clinic/Center | 1408 44th Ave, Gulfport, MS 39501-2554 | 2010-08-30 |
| 1629309117 | Coastal Family Health Center, Inc. | Clinic/Center | 3446 Big Ridge Rd, Diberville, MS 39540-2421 | 2010-01-22 |
| 1508897000 | Coastal Family Health Center, Inc. | Clinic/Center | 4913 Weems Street, Moss Point, MS 39563 | 2006-07-05 |
| 1801102793 | Coastal Family Health Center, Inc. | Clinic/Center | 257 Davis Ave Ste A, Pass Christian, MS 39571-4541 | 2010-08-30 |
| 1679581599 | Coastal Family Health Center, Inc. | Clinic/Center | 4770 Amoco Dr, Moss Point, MS 39563-9627 | 2006-08-04 |
| 1841220357 | Coastal Family Health Center, Inc. | Clinic/Center | 15024 Martin Luther King Jr Blvd, Gulfport, MS 39503 | 2006-07-03 |
| Street Address |
1025 DIVISION ST STE A |
| City | BILOXI |
| State | MS |
| Zip Code | 39530-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912964024 | Thomas T Trieu | Family Medicine | 1025 Division St, Suite B, Biloxi, MS 39530-2906 | 2006-05-01 |
| 1063977536 | Alexandra Koroscil | Nurse Practitioner | 1025 Division St, Biloxi, MS 39530-2906 | 2019-02-08 |
| 1801337548 | Antigen Solutions LLC | Family Medicine | 1025 Division St, Suite D, Biloxi, MS 39530-2906 | 2017-03-14 |
| 1063866937 | Nicole Whitman | Nurse Practitioner | 1025 Division St, Biloxi, MS 39530-2906 | 2016-04-18 |
| 1942677828 | Medical Analysis Dentistry | Dentist | 1025 Division St, Suite F, Biloxi, MS 39530-2906 | 2015-08-27 |
| 1548648157 | Jaime Denise Guttierrez | Nurse Practitioner | 1025 Division St, Biloxi, MS 39530-2906 | 2015-05-14 |
| 1255757019 | Celia Price Mitchell | Nurse Practitioner | 1025 Division St, Ste. B, Biloxi, MS 39530-2906 | 2014-03-17 |
| 1073943445 | Medical Analysis LLC | Clinic/Center | 1025 Division St, Biloxi, MS 39530-2906 | 2013-11-20 |
| 1518235142 | Ashley Nicole Burroughs Lovett | Nurse Practitioner | 1025 Division St, Suite B-1, Biloxi, MS 39530-2906 | 2011-12-10 |
| 1508082835 | John Sullivan | Dentist | 1025 Division St, Suite F, Biloxi, MS 39530-2906 | 2007-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588158125 | Gulf Coast Anesthesia Associates | Anesthesiology | 147 Reynoir St Ste 305, Biloxi, MS 39530 | 2018-06-18 |
| 1326486804 | Pavilion Personal Care LLC | In Home Supportive Care | 1450b Beach Blvd, Biloxi, MS 39530 | 2013-06-06 |
| 1366707713 | Makeva K Reed | Nurse Practitioner | 321 Division St, Biloxi, MS 39530 | 2012-07-11 |
| 1174833602 | Keith Edward Earley Jr. | Ophthalmology | 301 Fisher Ave, Keesler Afb, MS 39530 | 2010-10-18 |
| 1730406729 | Alexander H. Nguyen | Surgery | 4503 M St, Biloxi, MS 39530 | 2010-04-29 |
| 1881891265 | Tina Fleming Mcgrew | Nurse Practitioner | 321-b Divison Street, Biloxi, MS 39530 | 2007-06-29 |
| 1285857623 | South Mississippi Nephrology, Pllc | Internal Medicine | 784 Vieux Marche, Biloxi, MS 39530 | 2007-04-11 |
| 1164573515 | Keith G Goodfellow | Obstetrics & Gynecology | 147 Reynoir St Ste 105, Biloxi, MS 39530 | 2007-01-14 |
| 1871640292 | Doreen Brock | Nurse Practitioner | 1046 Division Street, Biloxi, MS 39530 | 2007-01-05 |
| 1922069715 | Garvin Wallace Cunningham | Dentist | 683 Division St, Biloxi, MS 39530 | 2006-03-31 |
| Find all providers in zip 39530 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417090093 | University Pavilion Pharmacy | Pharmacy | 1410 E Woodrow Wilson Dr, Jackson, MS 39216 | 2007-02-14 |
| 1518040500 | Region Iv Mh Mr Commission Phcy | Pharmacy | 2301b E Chambers Dr, Booneville, MS 38829 | 2006-10-23 |
| 1295268985 | Southern Pharmacy Clinical Management | Pharmacy | 3224 Dijon Ave, Ocean Springs, MS 39564-8520 | 2017-04-10 |
| 1912452921 | Sports Medicine Pharmacy LLC | Pharmacy | 1325 E Fortification St, Jackson, MS 39202-2442 | 2016-08-19 |
| 1689039711 | River Region Health System | Pharmacy | 2100 Highway 61 N, Pharmacy, Vicksburg, MS 39183-8211 | 2015-12-16 |
| 1891171351 | Prime Urgent Medical Clinic | Pharmacy | 176 Goodman Rd W, Southaven, MS 38671-9405 | 2015-08-07 |
| 1578956264 | Alliance Healthcare System | Pharmacy | 1938 Crescent Meadows Dr, Holly Springs, MS 38635-7419 | 2015-03-05 |
| 1871927517 | Southeast Mississippi Rural Health Initiative, Inc. | Pharmacy | 62 Old Airport Rd, Hattiesburg, MS 39401-8382 | 2013-08-29 |
| 1689915423 | Region Iv Desoto County Pharmacy | Pharmacy | 2705 Highway 51 S, Hernando, MS 38632-2634 | 2013-03-04 |
| 1508072273 | Foot Solutions LLC | Pharmacy | 120 Market St, Woodland, MS 39776-9104 | 2007-05-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.