Organization Active NPI

Koehler Drug Company Inc

  • Community/Retail Pharmacy
  • Upper Sandusky, OH
National Provider Identifier
1255447884
Registry record updated Jun 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
02-0090900 Issued in OH
Legal business name
KOEHLER DRUG COMPANY INC
Practice address
136 N Sandusky Ave
Upper Sandusky, OH 43351-1254
Phone
(419) 294-1916
Fax
(419) 294-0087
NPI assigned
Aug 23, 2006
Last updated
Jun 28, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2013

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

Authorized official

Name
Andrew Koehler, RPH
Title
Owner/Pharmacist
Phone
(419) 294-1916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Retail Pharmacy 3336C0003X 02-0090900 OH Primary

Addresses

Primary practice location

136 N Sandusky Ave
Upper Sandusky, OH 43351-1254

Mailing address

136 N Sandusky Ave
Upper Sandusky, OH 43351-1254
Phone (419) 294-1916

Other identifiers 1

IdentifierTypeStateIssuer
4794889MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372377600000",
    "number": "1255447884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511254",
            "telephone_number": "419-294-1916",
            "fax_number": "419-294-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N SANDUSKY AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511254",
            "telephone_number": "419-294-1916",
            "fax_number": "419-294-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOEHLER DRUG COMPANY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-06-28",
        "status": "A",
        "authorized_official_last_name": "KOEHLER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "419-294-1916",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "02-0090900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4794889",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Sandusky, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2013; 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.