Individual provider Active NPI

Colleen Courey, PHARM. D.

  • Pharmacist
  • Lake City, FL
National Provider Identifier
1053910943
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PS61413 Issued in FL
Practice address
1465 W US Highway 90 Ste 110
Lake City, FL 32055-6154
Phone
(386) 755-2233
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PharmacistGroup: 193400000X SINGLE SPECIALTY GROUP 183500000X PS61413 FL Primary

Addresses

Primary practice location

1465 W US Highway 90 Ste 110
Lake City, FL 32055-6154

Mailing address

1225 Center Dr
Gainesville, FL 32610-3007
Phone (352) 273-6236

Other practice location 1

1225 Center Dr
Gainesville, FL 32610-3007
Phone (352) 273-6236

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ccourey@cop.ufl.edu

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
PS61413FLMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Prescription Center, Inc PastSince Oct 25, 2020 Accepting new patients
Gateway Prescription Center Inc PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1053910943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 CENTER DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326103007",
            "telephone_number": "352-273-6236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 W US HIGHWAY 90 STE 110",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320556154",
            "telephone_number": "386-755-2233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 Center Dr",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "326103007",
            "country_code": "US",
            "telephone_number": "352-273-6236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUREY",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "PHARM. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS61413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ccourey@cop.ufl.edu",
            "affiliation": "N",
            "address_1": "1465 W US Highway 90 Ste 110",
            "city": "Lake City",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320556154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.