Colonia Natural Pharmacy, Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RS00661700 Issued in NJ

Legal business name

COLONIA NATURAL PHARMACY, INC.

Practice address

515 Inman Ave
Colonia, NJ 07067-1114

Phone

(732) 381-3400

Fax

(732) 381-3464

NPI assigned

Jul 16, 2006

Last updated

Aug 23, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Svetislav Milic, R.PH.NPI 1962425447

Title

President-Owner

Phone

(732) 381-3400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ3 enrollments

Enrollment records 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 7

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.

• Svetislav Milic, R.PH.

  • Pharmacist
  • Colonia, NJ
  • NPI 1962425447
  NPD Authorized official
• Andrey Pakholskiy, PHARMD

  • Pharmacist
  • Colonia, NJ
  • NPI 1689295974
  NPD
• Ian Matthew Berman, PHARMD, RPH

  • Pharmacist
  • Colonia, NJ
  • NPI 1699395244
  NPD (past)
• Steven B Dilollo, PHARM.D.

  • Pharmacist
  • Colonia, NJ
  • NPI 1649299728
  NPD (past)
• Kimberly Ann Hansen, R.PH.

  • Pharmacist
  • Bound Brook, NJ
  • NPI 1659394336
  NPD (past)
• Tatijana Nedeska, PHARM.D.

  • Pharmacist
  • Colonia, NJ
  • NPI 1427326511
  NPD (past)
• Christiana Thompson, PHARMD

  • Pharmacist
  • Colonia, NJ
  • NPI 1154941656
  NPD (past)

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

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1306863188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 INMAN AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671114",
            "telephone_number": "732-381-3400",
            "fax_number": "732-381-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 INMAN AVE",
            "city": "COLONIA",
            "state": "NJ",
            "postal_code": "070671114",
            "telephone_number": "732-381-3400",
            "fax_number": "732-381-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIA NATURAL PHARMACY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-16",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "MILIC",
        "authorized_official_first_name": "SVETISLAV",
        "authorized_official_title_or_position": "PRESIDENT-OWNER",
        "authorized_official_telephone_number": "732-381-3400",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RS00661700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0107816",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kellie Cuzzola, LCSW
• Amanda D'Alessandro

• Pharmacist in Colonia, NJ
• Providers in Colonia, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.