Tim Wayne Colyer, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

0202009375 Issued in VA

Practice address

4881 Cox Rd
Building #1
Glen Allen, VA 23060-6293

Phone

(804) 270-3784

Fax

(804) 270-9149

NPI assigned

Dec 9, 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

State licenses

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

{
    "created_epoch": "1323388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323388800000",
    "number": "1881962496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4881 COX RD",
            "address_2": "BUILDING #1",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606293",
            "telephone_number": "804-270-3784",
            "fax_number": "804-270-9149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 COX RD",
            "address_2": "BUILDING #1",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230606293",
            "telephone_number": "804-270-3784",
            "fax_number": "804-270-9149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLYER",
        "first_name": "TIM",
        "middle_name": "WAYNE",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-12-09",
        "last_updated": "2011-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "VA",
            "license": "0202009375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pharmacist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Pharmacist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.