Active NPI
Colleen M. Colegrove, R.PH.
- Pharmacist
- Anchorage, AK
National Provider Identifier
1124160049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH017478
- Practice address
- 2550 E 88TH Ave
Anchorage, AK 99507-3814 - Phone
- (907) 349-9292
- NPI assigned
- Feb 14, 2007
- Last updated
- Feb 24, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH017478 | GA | Primary |
| Pharmacist | 183500000X | 168417 | AK |
Addresses
Primary practice location
2550 E 88TH Ave
Anchorage, AK 99507-3814
Mailing address
19137 Nunivak Cir
Eagle River, AK 99577-8660
Phone (706) 768-5689
Other names 1
- Colleen M. Colegrove
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168417 | AK | MD | Pharmacist |
| RPH017478 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Current | Accepting new patients | |
| Ingles Markets Inc | Past | Accepting new patients | |
| Ingles Markets Inc | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Locations
2550 E 88th Ave
Anchorage, AK 99507
Phone (907) 349-9292
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Acworth, GA
- NPI 1023872108
-
dba Ingles Pharmacy #428
- Community/Retail Pharmacy
- Clarkesville, GA
- NPI 1124033071
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1124160049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19137 NUNIVAK CIR",
"city": "EAGLE RIVER",
"state": "AK",
"postal_code": "995778660",
"telephone_number": "706-768-5689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 E 88TH AVE",
"city": "ANCHORAGE",
"state": "AK",
"postal_code": "995073814",
"telephone_number": "907-349-9292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEGROVE",
"first_name": "COLLEEN",
"middle_name": "M.",
"credential": "R.PH.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH017478",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AK",
"license": "168417",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "COLEGROVE",
"middle_name": "M.",
"credential": "PHARM.D.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Anchorage, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.