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 1720128499

Coastal Medical, Inc is a Non-Pharmacy Dispensing Site in Wakefield, 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

70 Kenyon Ave Ste 321
Wakefield, RI 02879-4239
Phone: (401) 783-0084
Fax: (401) 782-0005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence MD06582 (RI)

Record details

NPI number1720128499
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
Other names Coastal Medical - Wakefield Medical
NPI enumeratedFebruary 8, 2007
Last updated in NPPESApril 24, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705