Coldstream Pharmacy, LLC

Primary specialty

PharmacistTaxonomy code 183500000X

License

P07091 Issued in KY

Legal business name

COLDSTREAM PHARMACY, LLC

Practice address

1517 Bull Lea Rd
Suite 150
Lexington, KY 40511-1200

Phone

(859) 246-0112

NPI assigned

Mar 28, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Anne L. Gresham, RPH

Title

Managing Member

Phone

(859) 246-0112

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821059296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 BULL LEA RD",
            "address_2": "SUITE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111200",
            "telephone_number": "859-246-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 BULL LEA RD",
            "address_2": "SUITE 150",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405111200",
            "telephone_number": "859-246-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLDSTREAM PHARMACY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GRESHAM",
        "authorized_official_first_name": "ANNE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "859-246-0112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "P07091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sydney Elise Colburn, M.S
• Colby Cohen-Archer, PH.D., PLLC
• George Watts Colclough, MD
• Elizabeth M Colcough, LPT
• Sarah Coldiron
• Elizabeth Cole, ATC
• Ella Cole, PA
• Gitana B Cole, APRN
• Glenda S Cole, M.A., CCC/SLP
• Jill Suzanne Cole, LMT

• Pharmacist in Lexington, KY
• Providers in Lexington, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.