OrganizationActive
Mintz Coastal Drug Store Inc
NPI 1700925898 · Community/Retail Pharmacy · Shallotte, NC
Provider details
- NPI number
- 1700925898
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Theresa Mintz, President, Manager(910) 754-6563
- License
- 09293 (NC)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4802 Main Street
Shallotte, NC 28470-1863
Phone: (910) 754-6563
Street-level locationGet directions
Mailing address
Po Box 70
Shallotte, NC 28459-0070
Other names (DBA / former)
- Former legal business name
- Coastal Drug Store
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2013-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.