David L & Henrietta F Cole

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

Legal business name

DAVID L & HENRIETTA F COLE

Practice address

2113 W Main St
Jeffersonville, PA 19403-3005

Phone

(610) 539-7283

Fax

(610) 539-6430

NPI assigned

Nov 9, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David L Cole, RPHNPI 1134711203

Title

Owner

Phone

(610) 539-7282

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• The Medicine Shoppe Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David L Cole

  • Community/Retail Pharmacy
  • Jeffersonville, PA
  • NPI 1134711203
  NPD Authorized official

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1366423139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2113 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033005",
            "telephone_number": "610-539-7283",
            "fax_number": "610-539-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2113 W MAIN ST",
            "city": "JEFFERSONVILLE",
            "state": "PA",
            "postal_code": "194033005",
            "telephone_number": "610-539-7283",
            "fax_number": "610-539-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID L & HENRIETTA F COLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-539-7282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0185531",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005637970002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP #",
            "identifier": "3936121",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Medicine Shoppe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chrispos Home Care Services, Inc.
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• Joanne Coyle, PSYD
• Fran Dematteo, R.N.
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• Gregory Joseph Henderson, LAC. MAC.
• Zakiya R Hill
• HRPC

• Community/Retail Pharmacy in Jeffersonville, PA
• Providers in Jeffersonville, PA by specialty
• Community/Retail Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.