Organization Active NPI

Colony Pharmacy, Inc

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
National Provider Identifier
1205803129
Registry record updated Jul 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
48 133017 Issued in OH
Legal business name
COLONY PHARMACY, INC
Practice address
2655 W Central Ave
Toledo, OH 43606-3550
Phone
(419) 473-1493
Fax
(419) 473-1529
NPI assigned
Mar 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2008

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

Authorized official

Name
Mr. Dennis Don Newsom
Title
Chief Executive Officer
Phone
(419) 473-1493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 48 133017 OH Primary

Addresses

Primary practice location

2655 W Central Ave
Toledo, OH 43606-3550

Mailing address

2655 W Central Ave
Toledo, OH 43606-3550
Phone (419) 473-1493

Other identifiers 1

IdentifierTypeStateIssuer
0469578MedicaidOH

Other names 1

  • THE PHARMACY COUNTER, INC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1205803129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063550",
            "telephone_number": "419-473-1493",
            "fax_number": "419-473-1529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 W CENTRAL AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063550",
            "telephone_number": "419-473-1493",
            "fax_number": "419-473-1529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONY PHARMACY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-01",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "NEWSOM",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "419-473-1493",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "48 133017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469578",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE PHARMACY COUNTER, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; 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.