Organization Active NPI

Coler Drug Athens LTD

  • Community/Retail Pharmacy
  • Athens, OH
National Provider Identifier
1366947111
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022861750-03 Issued in OH
Legal business name
COLER DRUG ATHENS LTD
Practice address
310 W Union St Ste 101
Athens, OH 45701-2312
Phone
(740) 452-7685
Fax
(740) 452-7665
NPI assigned
Mar 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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

Authorized official

Name
John Coler
Title
Owner,MGR,Ao
Phone
(740) 452-7685

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X 022861750-03 OH Primary

Addresses

Primary practice location

310 W Union St Ste 101
Athens, OH 45701-2312

Mailing address

PO Box 3506
Zanesville, OH 43702-3506
Phone (740) 452-7685

Other identifiers 1

IdentifierTypeStateIssuer
2176081OtherPK

Other names 1

  • Shrivers Pharmacy and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180907002785 OH Part B Supplier - Pharmacy 5799035937 Practice locations: Athens, OH
O20181102002406 OH DME Supplier - Pharmacy 5799035937 Practice locations: Athens, OH

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2148221Shrivers Pharmacy and Wellness310 West Union Street, Athens, OH 45701Certificate of waiverMay 6, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Coler Drug Athens, LTD310 W Union St, Athens, OH 45701-2312(740) 447-9201 Blood Glucose Monitors/Supplies (Non-Mail Order)|Heat & Cold Applications|Orthoses: Off-The-Shelf|Nebulizer Equipment and/or Supplies Does not accept assignmentParticipating since Jun 11, 2018

National Provider Directory

National Provider Directory

Locations

310 W Union St
#101
Athens, OH 45701
Phone (740) 447-9201

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585785600000",
    "number": "1366947111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3506",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437023506",
            "telephone_number": "740-452-7685",
            "fax_number": "740-452-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W UNION ST STE 101",
            "city": "ATHENS",
            "state": "OH",
            "postal_code": "457012312",
            "telephone_number": "740-452-7685",
            "fax_number": "740-452-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLER DRUG ATHENS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-26",
        "last_updated": "2020-04-02",
        "certification_date": "2020-04-02",
        "status": "A",
        "authorized_official_last_name": "COLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER,MGR,AO",
        "authorized_official_telephone_number": "740-452-7685"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "022861750-03",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2176081",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shrivers Pharmacy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Athens, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2020; 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.