Coler Drug McConnelsville LTD

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

021736450 Issued in OH

Legal business name

COLER DRUG MCCONNELSVILLE LTD

Doing business as

Shrivers Pharmacy

Practice address

105 N Kennebec Ave
McConnelsville, OH 43756-1254

Phone

(740) 962-2552

Fax

(740) 962-2730

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

John E Coler

Title

Owner/Manager

Phone

(740) 452-7685

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• SHRIVERS PHARMACY Doing business as

Medicare fee-for-service enrollment

Enrolled in OH2 enrollments

Enrollment records 2

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

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1427160977",
    "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": "740-452-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N KENNEBEC AVE",
            "city": "MCCONNELSVILLE",
            "state": "OH",
            "postal_code": "437561254",
            "telephone_number": "740-962-2552",
            "fax_number": "740-962-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLER DRUG MCCONNELSVILLE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "COLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "740-452-7685"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "OH",
            "license": "021736450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2774074",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2075068",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHRIVERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SHRIVERS PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tanica R Casterline, AAS, QMHS
• Amanda Chaney, LPN
• Travis J Church
• Julia Clemens
• Kiera Michelle Coleman
• Nicole Copeland, PT
• Maria N Coyle, MS, RD
• Natasha Nicole Croston
• Laurie A Cunningham, MED, PCC
• Nicholas Difrancesco, PSY. S.

• Community/Retail Pharmacy in McConnelsville, OH
• Providers in McConnelsville, OH by specialty
• Community/Retail Pharmacy in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.