College Pharmacy, Inc.

Primary specialty

PharmacyTaxonomy code 333600000X

License

240000038 Issued in CO

Legal business name

COLLEGE PHARMACY, INC.

Doing business as

College Pharmacy

Practice address

3505 Austin Bluffs Parkway
Suite 101
Colorado Springs, CO 80918

Phone

(719) 262-0022

Fax

(719) 262-0035

NPI assigned

Aug 12, 2005

Last updated

Oct 6, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Simon Gillick, R.PH.

Title

President

Phone

(719) 262-0022

Specialties & licenses 1

Addresses

Other names 1

• College Pharmacy Doing business as

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254787200000",
    "number": "1073515615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 AUSTIN BLUFFS PARKWAY",
            "address_2": "SUITE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-262-0022",
            "fax_number": "719-262-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 AUSTIN BLUFFS PARKWAY",
            "address_2": "SUITE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80918",
            "telephone_number": "719-262-0022",
            "fax_number": "719-262-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-12",
        "last_updated": "2009-10-06",
        "status": "A",
        "authorized_official_last_name": "GILLICK",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "719-262-0022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CO",
            "license": "240000038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Collaborative Transformations Counseling LLC
• Collaborative Transformations Counseling LLC
• Dominique Collacott
• Sabrah Jean Callahan Collar, PMHNP-BC
• Michelle Marie Collard, R.N.
• Daniel William Colli, DPT
• Carol D Collier, M.D.
• Jill Lynn Collier, CRNP
• John Thomas Collier, RBT
• Karen Sue Collier

• Pharmacy in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2009; 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.