Individual provider Active NPI

Jeffrey David Kolo, R.PH.

  • Pharmacist
  • East Windsor, NJ
National Provider Identifier
1306163712
Registry record updated Apr 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
28RI02631100 Issued in NJ
Practice address
191 Dutch Neck Rd
East Windsor, NJ 08520-2716
Phone
(609) 448-1210
NPI assigned
Apr 23, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP044194L PA
Pharmacist 183500000X 28RI02631100 NJ Primary

Addresses

Primary practice location

191 Dutch Neck Rd
East Windsor, NJ 08520-2716

Mailing address

18 Sussex LN
East Windsor, NJ 08520-5105
Phone (609) 448-6769

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
28RI02631100NJMDPharmacist
RP044194LPAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1306163712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SUSSEX LN",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085205105",
            "telephone_number": "609-448-6769",
            "fax_number": "609-448-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 DUTCH NECK RD",
            "city": "EAST WINDSOR",
            "state": "NJ",
            "postal_code": "085202716",
            "telephone_number": "609-448-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLO",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-23",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP044194L",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI02631100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Windsor, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.