Colleen Carlson, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

4155 Issued in ND

Practice address

1202 Russet
Grand Forks, ND 58201-3713

Phone

(701) 741-5590

NPI assigned

Mar 27, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 27, 2014.

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1306263249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 RUSSET",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013713",
            "telephone_number": "701-741-5590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 RUSSET",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013713",
            "telephone_number": "701-741-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "COLLEEN",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ND",
            "license": "4155",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MN",
            "license": "114616",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Kay Cantrell-Griffin
• Henri Rommell Caoili, MD
• Kirby Jo Capp, DPT
• Olivia V Carcoana, MD
• Barbara Catherine-Hall Carlson, MA
• Gregory Don Carlson, BA
• Kayla Carlson
• Kenneth M Carlson, PH.D.
• Laura Jane Carlson, FNP-C
• Malarie Carlson, LAPC

• All providers in Grand Forks, ND
• Pharmacist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.