A fast, free, no-login way to look up any U.S. healthcare provider in the federal NPPES registry.

Lookups

NPI Lookup
NPI Registry
By Specialty
By State

Resources

Guides
For Providers / API
Data Sources
About

Legal

Privacy
Terms
Correct a record

Data is sourced from the public NPPES (National Plan and Provider Enumeration System) registry published by CMS. NPI Central is not affiliated with, or endorsed by, CMSor any healthcare provider. Information is provided “as is” for general reference and is not medical advice.

FCRA notice: NPI Central is not a consumer reporting agency. This information may not be used to determine eligibility for employment, credentialing, insurance, or any other purpose covered by the Fair Credit Reporting Act.

© 2026 NPI Central. All rights reserved.

Coastal Medical, Inc. — NPI 1114124864, Providence, RI | NPI Central

Home/
NPI Lookup/
RI/
NPI 1114124864

OrganizationActive

Coastal Medical, Inc.

NPI 1114124864 · Non-Pharmacy Dispensing Site · Providence, RI

Provider details

NPI number: 1114124864
Entity type: Organization
Primary specialty: Non-Pharmacy Dispensing SiteSuppliers
Parent organization: Medvantx, Inc
Organization subpart: Yes
Authorized official: Kenny Heine, Vp of Operations(858) 625-2990
License: MD08852 (RI)

Specialties & taxonomies

Non-Pharmacy Dispensing SitePrimary332900000XLicense MD08852 (RI)
Suppliers

Practice location

1075 Smith St

2nd Floor

Providence, RI 02908-2700

Phone: (401) 421-4400

Approximate (ZIP-level) locationGet directions

More RI providers

Mailing address

5626 Oberlin Dr

San Diego, CA 92121-1705

Other names (DBA / former)

Doing business as: Coastal Medical - Elmhurst

Registry dates

Enumerated: 2007-06-27
Last updated: 2013-10-24

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.