Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Medical, Inc

Organization Non-Pharmacy Dispensing Site · NPI 1184767022

Coastal Medical, Inc is a Non-Pharmacy Dispensing Site in Cranston, Rhode Island. Licensed in Rhode Island. Registered with an NPI since 2007.

Licensed in
RI
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

761 Park Ave
Cranston, RI 02910-2137
Phone: (401) 467-3460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence MD06986 (RI)

Record details

NPI number1184767022
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Director Of Operations · (858) 625-2990
NPI enumeratedFebruary 14, 2007
Last updated in NPPESOctober 17, 2012
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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