Active NPI
Coler Long Term Care, LTD
- Long Term Care Pharmacy
- Zanesville, OH
National Provider Identifier
1124304092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- License
- 022171250
- Legal business name
- COLER LONG TERM CARE, LTD
- Practice address
- 1811 Chandlersville Rd
Zanesville, OH 43701-4644 - Phone
- (740) 454-2086
- Fax
- (740) 453-3026
- NPI assigned
- Oct 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Coler, RPH
- Title
- Manager
- Phone
- (740) 452-7685
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy | 333600000X | 022171250 | OH | |
| Long Term Care Pharmacy | 3336L0003X | 022171250 | OH | Primary |
Addresses
Primary practice location
1811 Chandlersville Rd
Zanesville, OH 43701-4644
Mailing address
1815 Chandlersville Rd
Zanesville, OH 43701-4644
Phone (740) 452-7685
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060285 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130206000657 | OH | DME Supplier - Pharmacy | 1052570157 | Practice locations: Zanesville, OH |
| O20210720002475 | OH | Part B Supplier - Pharmacy | 1052570157 | Practice locations: Zanesville, OH |
National Provider Directory
National Provider DirectoryLocations
406 Brighton Blvd
Ste 2
Zanesville, OH 43701
Phone (740) 454-2086
1815 Chandlersville Rd
Zanesville, OH 43701
1811 Chandlersville Rd
Zanesville, OH 43701
Phone (740) 454-2086
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Zanesville, OH
- NPI 1316200629
-
- Pharmacist
- Crooksville, OH
- NPI 1619581022
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585785600000",
"number": "1124304092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1815 CHANDLERSVILLE RD",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437014644",
"telephone_number": "740-452-7685",
"fax_number": "740-452-7655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1811 CHANDLERSVILLE RD",
"city": "ZANESVILLE",
"state": "OH",
"postal_code": "437014644",
"telephone_number": "740-454-2086",
"fax_number": "740-453-3026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLER LONG TERM CARE, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-24",
"last_updated": "2020-04-02",
"certification_date": "2020-04-02",
"status": "A",
"authorized_official_last_name": "COLER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "740-452-7685",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "OH",
"license": "022171250",
"primary": false
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": "OH",
"license": "022171250",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0060285",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zanesville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.