Active NPI
Kohler Professional Pharmacy LLC
- Pharmacist
- Colorado Springs, CO
National Provider Identifier
1023168309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- BK9532222
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34608087 | Medicaid | CO |
National Provider Directory
National Provider DirectoryNPI 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.