OrganizationActiveAccepts Medicare
Southern Cancer Center, PC
NPI 1619215381 · Pharmacy · Daphne, AL
Enrolled with Medicare as Dme Supplier - Pharmacy · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1619215381
- Entity type
- Organization
- Primary specialty
- PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Lauren Pettis, Executive Director(251) 625-6896
Specialties & taxonomies
Suppliers
- Community/Retail Pharmacy3336C0003X
Suppliers
- Specialty Pharmacy3336S0011X
Suppliers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
29653 Anchor Cross Blvd
Sutie a 101
Daphne, AL 36526-9594
Phone: (251) 607-5061
Fax: (251) 607-5062
Street-level locationGet directions
Mailing address
29653 Anchor Cross Blvd Ste A101
Daphne, AL 36526-9594
Other names (DBA / former)
- Doing business as
- Coastal Pharmacy LLC
- Doing business as
- Coastal Pharmacy LLC
- Doing business as
- Southern Cancer Center, PC Dba Coastal Pharmacy LLC
Registry dates
- Enumerated
- 2013-01-30
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.