Individual provider Active NPI

Caroline V. Koluch, R.PH, MBA

  • Pharmacist
  • Bel Air, MD
National Provider Identifier
1306014352
Registry record updated Feb 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
10061 Issued in MD
Practice address
599 Baltimore Pike
Bel Air, MD 21014-4319
Phone
(410) 638-2432
NPI assigned
Feb 12, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10061 MD Primary

Addresses

Primary practice location

599 Baltimore Pike
Bel Air, MD 21014-4319

Mailing address

PO Box 337
Forest Hill, MD 21050-0337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
10061MDMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
The Great Atlantic and Pacific Tea Company Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202774400000",
    "number": "1306014352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "FOREST HILL",
            "state": "MD",
            "postal_code": "210500337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 BALTIMORE PIKE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144319",
            "telephone_number": "410-638-2432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLUCH",
        "first_name": "CAROLINE",
        "middle_name": "V.",
        "name_prefix": "Ms.",
        "credential": "R.PH, MBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MD",
            "license": "10061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.