Col Pharmaceutical Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

54666 Issued in CA

Legal business name

COL PHARMACEUTICAL INC

Practice address

305 N Soto St
Suite a
Los Angeles, CA 90033-1862

Phone

(323) 673-9543

Fax

(323) 673-9593

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Crisanto Ortiz-Luis

Title

Ceo/Pic

Phone

(323) 673-9543

Specialties & licenses 1

Addresses

Other names 1

• COL Pharmacy Doing business as

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1699225243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N SOTO ST",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331862",
            "telephone_number": "323-673-9543",
            "fax_number": "323-673-9593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N SOTO ST",
            "address_2": "SUITE A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900331862",
            "telephone_number": "323-673-9543",
            "fax_number": "323-673-9593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COL PHARMACEUTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "ORTIZ-LUIS",
        "authorized_official_first_name": "CRISANTO",
        "authorized_official_title_or_position": "CEO/PIC",
        "authorized_official_telephone_number": "323-673-9543"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "CA",
            "license": "54666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COL Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tom Cohn, MFT
• Daniel Cohrs, MD
• Deanna Suzanne Coker, BCBA
• Ivy Bartholomew Coker
• Jason Randolph Coker, D.O.
• Adil Amirali Colabawala
• Shanthi Marie Colaco, M.D.
• Vanessa Maria Colaco, PHARMD
• Alexander F Colanero, D.C.
• Stephanie Colantonio, MD

• Community/Retail Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Community/Retail Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.