Organization Active NPI

Coler Long Term Care, LTD

  • Long Term Care Pharmacy
  • Zanesville, OH
National Provider Identifier
1124304092
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
022171250 Issued in OH
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

Updated by the provider on Apr 2, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0060285MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.