Kohler Professional Pharmacy LLC

Primary specialty

Long Term Care PharmacyTaxonomy code 3336L0003X

License

240000032 Issued in CO

Legal business name

KOHLER PROFESSIONAL PHARMACY LLC

Practice address

1007 Elkton Drive
Colorado Springs, CO 80907-7556

Phone

(719) 473-1823

Fax

(719) 634-6005

NPI assigned

Mar 19, 2007

Last updated

Jan 13, 2012By 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

Robert Winters

Title

Owner

Phone

(719) 473-1823

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1447374046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 ELKTON DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073539",
            "telephone_number": "719-473-1823",
            "fax_number": "719-634-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 ELKTON DRIVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809077556",
            "telephone_number": "719-473-1823",
            "fax_number": "719-634-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHLER PROFESSIONAL PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "WINTERS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-473-1823"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "CO",
            "license": "240000032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34608087",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200577110A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Dean Kofford, DMD
• Derek B Kogan, D.C., L.AC
• Chloe Kohl
• Jennifer Kohl, DC
• Kohler Professional Pharmacy LLC
• Kohler Therapy, LLC
• Anthony Gust Kohler, DOCTOR OF OPTOMETRY
• Christine A Kohler, P.T.
• Johnathan Kohles, DDS
• Heather Ann Kohlhase, MFTC

• Long Term Care Pharmacy in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Long Term Care Pharmacy in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.