Kelv in W Cole, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

4786 Issued in CT

Practice address

960 North Ave
Walgreens
Bridgeport, CT 06606

Phone

(203) 334-6978

NPI assigned

Oct 15, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

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

{
    "created_epoch": "1318636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318636800000",
    "number": "1770868366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROUTE 80",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064191429",
            "telephone_number": "860-663-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 NORTH AVE",
            "address_2": "WALGREENS",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "06606",
            "telephone_number": "203-334-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KELV IN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-10-15",
        "last_updated": "2011-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CT",
            "license": "4786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diamond Corinthia Clough, MD
• Abigail Co-Sy
• Heather Cody
• Briana Coglitore
• Tonisha Keon Cohen-King, LCSW
• Robert Steven Colen, PHD
• Dawn Kathleen Colica, LCSW
• Collaboration Healthcare Corp
• Tanya Maria Collazo
• Collins Pharmacy Inc

• Pharmacist in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Pharmacist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2011; 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.