Coastal Plaza Pharmacy LLC
NPI 1568032480ActiveOrganization· Pharmacy· League City, TX
Pharmacy in League City, Texas, registered in NPPES in July 2021. The authorized official on file is Antony McDermott-Rotonardo, Managing Officer.
Overview
| NPI | 1568032480 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 1, 2021 |
| Last updated in NPPES | Jul 1, 2021 |
| Certified by provider | Jul 1, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pharmacy Primary | 333600000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other pharmacies in League City
- 1033168034
- 1225389455
- 1235236738
- 1275540288
- 1396842795
- 1497149363
- 1518972512
- 1578281606
- 1689862559