Active NPI
Coler Drug New Lexington LTD
Doing business as Shrivers Pharmacy
- Community/Retail Pharmacy
- Crooksville, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- License
- 022482400
- Legal business name
- COLER DRUG NEW LEXINGTON LTD
- Doing business as
- Shrivers Pharmacy
- Practice address
- 120 S Buckeye St
Crooksville, OH 43731-1015 - Phone
- (740) 982-3081
- Fax
- (740) 982-3301
- NPI assigned
- Sep 2, 2006
- Last updated
- Apr 2, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Coler
- Title
- Owner
- Phone
- (740) 452-7685
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | |||
| Pharmacy | 333600000X | |||
| Community/Retail Pharmacy | 3336C0003X | 022482400 | OH | Primary |
Addresses
Primary practice location
120 S Buckeye St
Crooksville, OH 43731-1015
Mailing address
PO Box 3506
Zanesville, OH 43702-3506
Phone (740) 452-7685
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0119210 | Medicaid | OH | |
| 2149663 | Other | PK |
Other names 1
- Shrivers Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120919000415 | OH | Part B Supplier - Mass Immunization (Roster Biller Only) | 2163628579 |
1 other NPI on this enrollment Practice locations: Crooksville, OH |
| O20150701000550 | OH | DME Supplier - Pharmacy | 2163628579 | Practice locations: Crooksville, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2183830 | Shrivers Pharmacy #6 | Certificate of waiver | May 10, 2028 |
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Shrivers Pharmacy #6 | Infusion Drugs|Blood Glucose Monitors/Supplies (Non-Mail Order)|Orthoses: Off-The-Shelf|Enteral Nutrients|Nebulizer Equipment and/or Supplies|Surgical Dressings | Does not accept assignment |
National Provider Directory
National Provider DirectoryLocations
120 S Buckeye St
Crooksville, OH 43731
Phone (720) 982-3081
120 S Buckeye St
#6
Crooksville, OH 43731
Phone (740) 982-3081
510 N Main St
New Lexington, OH 43764
Phone (740) 342-5133
Practitioners & affiliated clinicians
Practitioners 4
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.
-
- Pharmacist
- Zanesville, OH
- NPI 1699877688
-
- Pharmacist
- Crooksville, OH
- NPI 1619581022
-
- Pharmacist
- New Lexington, OH
- NPI 1760515167
-
- Pharmacist
- Columbus, OH
- NPI 1265167175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585785600000",
"number": "1518069210",
"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": "120 S BUCKEYE ST",
"city": "CROOKSVILLE",
"state": "OH",
"postal_code": "437311015",
"telephone_number": "740-982-3081",
"fax_number": "740-982-3301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLER DRUG NEW LEXINGTON LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-02",
"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",
"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": "022482400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0119210",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PK",
"identifier": "2149663",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shrivers Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Crooksville, 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.