College Pharmacy, Inc. Ant

Primary specialty

Specialty PharmacyTaxonomy code 3336S0011X

License

08788 Issued in NC

Legal business name

COLLEGE PHARMACY, INC. ANT

Doing business as

College Pharmacy

Practice address

4217 S New Hop Rd
Suite 101
Gastonia, NC 28056

Phone

(866) 828-8203

NPI assigned

Oct 5, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Tom William Bader, R.PH.

Title

Owner/ Pharmacist-in-Charge

Phone

(719) 262-0022

Specialties & licenses 1

Addresses

Other names 1

• College Pharmacy Doing business as

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891881769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 AUSTIN BLUFFS PKWY",
            "address_2": "SUITE 101",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185702",
            "telephone_number": "719-262-0022",
            "fax_number": "719-262-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 S NEW HOP RD",
            "address_2": "SUITE 101",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28056",
            "telephone_number": "866-828-8203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PHARMACY, INC. ANT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "TOM",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/ PHARMACIST-IN-CHARGE",
        "authorized_official_telephone_number": "719-262-0022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.PH."
    },
    "taxonomies": [
        {
            "code": "3336S0011X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Specialty Pharmacy",
            "state": "NC",
            "license": "08788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "College Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joy E Cole, D.C.
• Nieja Cole
• Jasmine C Colegrove, MSW, LCSW,LISW-CP
• Dana Nicole Coley, NP
• Samoan Coley
• Annamarie Reddin Collier, MD
• John Reginald Collier, M.D.
• Agnes Whisnant Collins, COTA/L
• Allison Flehan Collins, CRNA
• Amanda Nicole Collins

• Specialty Pharmacy in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Specialty Pharmacy in North Carolina

• 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.