Active NPI
Claudia Colombo, PHARM.D.
- Pharmacist
- Decatur, IL
National Provider Identifier
1396086302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 051.292408
- Practice address
- 225 E Ash Ave
Decatur, IL 62526-6157 - Phone
- (217) 872-1758
- NPI assigned
- Mar 15, 2013
- Last updated
- Mar 15, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 051.292408 | IL | Primary |
Addresses
Primary practice location
225 E Ash Ave
Decatur, IL 62526-6157
Mailing address
225 E Ash Ave
Decatur, IL 62526-6157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051.292408 | IL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1363305600000",
"number": "1396086302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 E ASH AVE",
"city": "DECATUR",
"state": "IL",
"postal_code": "625266157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 E ASH AVE",
"city": "DECATUR",
"state": "IL",
"postal_code": "625266157",
"telephone_number": "217-872-1758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLOMBO",
"first_name": "CLAUDIA",
"credential": "PHARM.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-15",
"last_updated": "2013-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "IL",
"license": "051.292408",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, IL
- Dale Colee
- Felicia Coleman, RBT
- Megan Collazo
- Anthony F Collins, M.D.
- Kevin Collins, NP
- Douglas Venice Combs, M.D.
- Michael Vail Comerford, M.D.
- Community Health Improvement Center (Oasis Day Center)
- Community Health Improvement Center (Crossing Healthcare at Heritage Behavioral Health Center)
- Community Health Improvement Center (Crossing Healthcare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.