Organization Active NPI

Kohler Professional Pharmacy LLC

  • Pharmacist
  • Colorado Springs, CO
National Provider Identifier
1023168309
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
BK9532222 Issued in CO
Legal business name
KOHLER PROFESSIONAL PHARMACY LLC
Practice address
1007 Elkton Dr
Colorado Springs, CO 80907-3539
Phone
(719) 473-1823
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert Winters
Title
Vice President
Phone
(816) 777-0609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X BK9532222 CO Primary

Addresses

Primary practice location

1007 Elkton Dr
Colorado Springs, CO 80907-3539

Mailing address

PO Box 6680
Lees Summit, MO 64064-6680
Phone (816) 777-0609

Other identifiers 1

IdentifierTypeStateIssuer
34608087MedicaidCO

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1023168309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6680",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640646680",
            "telephone_number": "816-777-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 ELKTON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073539",
            "telephone_number": "719-473-1823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLER PROFESSIONAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "816-777-0609"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "BK9532222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34608087",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.