Brian James Collins

Primary specialty

PharmacistTaxonomy code 183500000X

License

03439117 Issued in OH

Practice address

1175 Louisiana Ave
Perrysburg, OH 43551-2537

Phone

(419) 874-3587

NPI assigned

Mar 19, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lane Drug Co

  • Community/Retail Pharmacy
  • Perrysburg, OH
  • NPI 1023127362
  NPD (past)
• Lane Drug Co

  • Community/Retail Pharmacy
  • Findlay, OH
  • NPI 1184630493
  NPD (past)

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

{
    "created_epoch": "1584576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1023644390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1131 CEDAR CREEK DR",
            "city": "NORTHWOOD",
            "state": "OH",
            "postal_code": "436192656",
            "telephone_number": "419-349-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 LOUISIANA AVE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512537",
            "telephone_number": "419-874-3587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-19",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03439117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RPH LICENSE",
            "identifier": "03439117",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "brian.j.collins@riteaid.com",
            "affiliation": "N",
            "address_1": "1175 Louisiana Ave",
            "city": "Perrysburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435512537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aireal Patrice Clinton, LPC
• Marissa Caitlin Coldren
• Justin Allen Cole, M.D.
• Jashala Coleman, QMHS
• Annette Kay Collier, MD
• Colt Enterprises, Inc
• Colt Enterprises, Inc
• Complete Care Diversified, LLC
• Complete Care Physical Therapy, LLC
• Abigail Grace Cook

• Pharmacist in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.