Sean Paul Colebrook Jr.

Primary specialty

PharmacistTaxonomy code 183500000X

License

0017421 Issued in OR

Practice address

113 Ross LN N
Medford, OR 97501-2266

Phone

(415) 858-5078

NPI assigned

Aug 29, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1356999528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 ROSS LN N",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012266",
            "telephone_number": "415-858-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ROSS LN N",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975012266",
            "telephone_number": "415-858-5078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Biddle Rd",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975046116",
            "country_code": "US",
            "telephone_number": "541-535-6239",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3617 S Pacific Hwy",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975018957",
            "country_code": "US",
            "telephone_number": "541-535-6239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLEBROOK",
        "first_name": "SEAN",
        "middle_name": "PAUL",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-29",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OR",
            "license": "0017421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Cohn
• William Cohn, AMFT, APCC
• Jacob Colbert
• Jeffrey James Cole, FNP
• Mary Cole
• Caleb James Coleman
• Peggy Annette Coleman, MS ED
• Ryan Thomas Colley, D.O.
• April Collins-Macauley
• Angela Christine Collins

• Pharmacist in Medford, OR
• Providers in Medford, OR by specialty
• Pharmacist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2023; 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.