Organization
NORTH COAST MEDICAL SUPPLY, LLC
Active
Other names
NORTH COAST MEDICAL SUPPLY, INC., ADVANCED DIABETES SUPPLY
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ALVAREZ (SVP, OPERATIONS)
(216) 233-2994
Entity
Organization
Contact information
Practice address
2544 CAMPBELL PL STE 150, CARLSBAD, CA 92009-1768
(800) 730-9887
(614) 495-5446
Mailing address
2544 CAMPBELL PL STE 150, CARLSBAD, CA 92009-1768
(800) 730-9887
(614) 495-5446
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
—
—
3336M0002X
Mail Order Pharmacy
Primary
PHY46615
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5601960
NCPDP PROVIDER IDENTIFICATION NUMBER
—
05
—
PHA466150
—
CA
Enumeration date
07/19/2006
Last updated
04/20/2026
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