Active NPI
Kathryn Colegrove
- Pharmacist
- Portsmouth, OH
National Provider Identifier
1841894128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 03237289
- Practice address
- 4207 Gallia St
Portsmouth, OH 45662-5512 - Phone
- (740) 456-4158
- Fax
- (740) 456-4958
- NPI assigned
- Nov 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RP0010257 | WV | |
| Pharmacist | 183500000X | 03237289 | OH | Primary |
Addresses
Primary practice location
4207 Gallia St
Portsmouth, OH 45662-5512
Mailing address
4207 Gallia St
Portsmouth, OH 45662-5512
Phone (740) 456-4158
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03237289 | OH | MD | Pharmacist |
| RP0010257 | WV | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606348800000",
"number": "1841894128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4207 GALLIA ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456625512",
"telephone_number": "740-456-4158",
"fax_number": "740-456-4958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4207 GALLIA ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456625512",
"telephone_number": "740-456-4158",
"fax_number": "740-456-4958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEGROVE",
"first_name": "KATHRYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-26",
"last_updated": "2020-11-26",
"certification_date": "2020-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0010257",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "OH",
"license": "03237289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.