Jeffrey Ryan Kolb, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

S024766 Issued in AZ

Practice address

3450 N Glassford Hill Rd
Prescott Valley, AZ 86314-1351

Phone

(928) 499-3136

NPI assigned

Aug 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

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.

• German Dobson CVS LLC

  • Pharmacy
  • Queen Creek, AZ
  • NPI 1639053374
  NPD (past)
• German Dobson CVS LLC

  • Pharmacy
  • Sedona, AZ
  • NPI 1811444342
  NPD (past)

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

{
    "created_epoch": "1596672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1033729702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8236 E HERMOSA VISTA DR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071322",
            "telephone_number": "760-331-9578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 N GLASSFORD HILL RD",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863141351",
            "telephone_number": "928-499-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Sedona",
            "state": "AZ",
            "postal_code": "863365805",
            "country_code": "US",
            "telephone_number": "928-282-8569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOLB",
        "first_name": "JEFFREY",
        "middle_name": "RYAN",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-06",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S024766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kokopelli Eye Care Optical Dept
• Kokopelli Eye Care PC
• Kokopelli Eye Care PC
• Kokopelli Eye Care Surgery Center
• Taja Kolack, RN
• Kelly Kolp, RD
• Christopher James Kooken, BSN, RN
• Nicholas Leo Koshuta, O.D.
• Vicki Jayme Kral, BHP
• Susan Marced Kuhner, MA CCC SLP

• Pharmacist in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Pharmacist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.