Jesse David Koehler, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

RP437659 Issued in PA

Practice address

1786 Columbia Ave
Columbia, PA 17512-9508

Phone

(717) 684-0025

Fax

(717) 684-2842

NPI assigned

May 28, 2008

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

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Clearfield, PA
  • NPI 1508431081
  NPD (past)
• Rite Aid of Pennsylvania LLC

  • Community/Retail Pharmacy
  • Columbia, PA
  • NPI 1588753230
  NPD (past)

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

{
    "created_epoch": "1211932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1952569899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786-I COLUMBIA AVENUE",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175129508",
            "telephone_number": "717-684-0025",
            "fax_number": "717-684-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 COLUMBIA AVE",
            "city": "COLUMBIA",
            "state": "PA",
            "postal_code": "175129508",
            "telephone_number": "717-684-0025",
            "fax_number": "717-684-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "JESSE",
        "middle_name": "DAVID",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-28",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP437659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikayla Kemmerly Kemmerly
• Kaitlyn Keyser, RN
• Rubana Khan, DO
• Jeffrey J Klunk, MS
• Michael K. Knolle, DO
• William Brian Kraft, DC
• Margaret M Krumm, PA-C
• Adrienne K Kuhlengel, MD
• Merat S Labib
• Lanaster General Hospital

• Pharmacist in Columbia, PA
• Providers in Columbia, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.