Colonial Health Pharmacy

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

28RS00571100 Issued in NJ

Legal business name

COLONIAL HEALTH PHARMACY

Doing business as

Colonial Health Pharmacy

Practice address

125 Avon Ave
Newark, NJ 07108-2531

Phone

(973) 824-5010

Fax

(973) 799-0066

NPI assigned

Jul 12, 2006

Last updated

Jul 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Latchman Raghunadan, BS

Title

Mang

Phone

(973) 824-5010

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COLONIAL HEALTH PHARMACY Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latchman Raghunandan, B.S.

  • Pharmacist
  • Newark, NJ
  • NPI 1497818165
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1437184926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 AVON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082531",
            "telephone_number": "973-824-5010",
            "fax_number": "973-799-0066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AVON AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071082531",
            "telephone_number": "973-824-5010",
            "fax_number": "973-799-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL HEALTH PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "RAGHUNADAN",
        "authorized_official_first_name": "LATCHMAN",
        "authorized_official_title_or_position": "MANG",
        "authorized_official_telephone_number": "973-824-5010",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NJ",
            "license": "28RS00571100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2054145",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7946007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COLONIAL HEALTH PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristi Collins
• Haydee M Colon Hernandez
• Carmelo A Colon
• Carmen T Colon
• Jose Francisco Colon, M.D.
• Colsons Medical Transport
• Columbus Ambulance Service LLC
• Columbus Cardiology Associates
• Columbus Hospital
• Columbus Hospital Adult Primary Care Associates, PA

• Community/Retail Pharmacy in Newark, NJ
• Providers in Newark, NJ by specialty
• Community/Retail Pharmacy in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2018; 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.