Colonial Village Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

002541 Issued in MO

Legal business name

COLONIAL VILLAGE PHARMACY LLC

Practice address

7945 Big Bend Blvd
Saint Louis, MO 63119-2703

Phone

(314) 962-1065

Fax

(314) 962-9215

NPI assigned

Aug 14, 2006

Last updated

Jun 13, 2008By 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

Mr. Eugene Adam Arbini, RPH

Title

Owner/Pharmacist

Phone

(314) 962-1065

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Steven J. Ortiz, PHARM D. RPH.

  • Pharmacist
  • Webster Groves, MO
  • NPI 1235624883
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1720091598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7945 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192703",
            "fax_number": "314-962-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7945 BIG BEND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631192703",
            "telephone_number": "314-962-1065",
            "fax_number": "314-962-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL VILLAGE PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ARBINI",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "ADAM",
        "authorized_official_title_or_position": "OWNER/PHARMACIST",
        "authorized_official_telephone_number": "314-962-1065",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "MO",
            "license": "002541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "600129407",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Lee Collins, MD
• Teisha Collins, RN
• Shauna Collison, LPC
• Charles E Coln, MD
• Emily R Colona, PHARMD
• Colorectal Specialists, PC
• Cassandra Bates Colquitt, B.A.
• Janette Colquitt
• Lashawn Colquitt
• Eve Ruth Colson, MD

• Community/Retail Pharmacy in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community/Retail Pharmacy in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.