Ashley Sara Colburn, PHARM.D

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302411889 Issued in MI

Practice address

612 Saint Joseph Ave
Berrien Springs, MI 49103-1603

Phone

(269) 471-5020

NPI assigned

Sep 14, 2019

Last updated

Sep 14, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 04068

  • Community/Retail Pharmacy
  • Washington, MI
  • NPI 1619117405
  NPD (past)
• Rite Aid of Michigan Inc

  dba Rite Aid Pharmacy 03368

  • Community/Retail Pharmacy
  • Berrien Springs, MI
  • NPI 1679682132
  NPD (past)

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568419200000",
    "number": "1154971877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 SAINT JOSEPH AVE",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031603",
            "telephone_number": "269-471-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 SAINT JOSEPH AVE",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031603",
            "telephone_number": "269-471-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "ASHLEY",
        "middle_name": "SARA",
        "credential": "PHARM.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302411889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathyrn Capps
• Harley Sue Childers
• Chloe Son
• Todd Richard Christy, DDS
• Sophia Cirigliano
• Comfort Care Mobility LLC
• Frank Donald Conklin, DDS
• Andrew Cooper, LPC
• Carla Copeland-Joseph
• Ellecia Hope Cousins, LPC

• Pharmacist in Berrien Springs, MI
• Providers in Berrien Springs, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.