Organization Active NPI

Coler Drug New Lexington LTD

Doing business as Shrivers Pharmacy

  • Community/Retail Pharmacy
  • Crooksville, OH
National Provider Identifier
1518069210
Registry record updated Apr 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
022482400 Issued in OH
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0119210MedicaidOH
2149663OtherPK

Other names 1

  • Shrivers Pharmacy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2183830Shrivers Pharmacy #6120 S Buckeye St, Crooksville, OH 43731Certificate of waiverMay 10, 2028

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Shrivers Pharmacy #6120 S Buckeye St, Crooksville, OH 43731-1015(740) 982-3081 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 assignmentParticipating since Dec 9, 2007

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.