Active NPI
Colony Pharmacy, Inc
- Community/Retail Pharmacy
- Toledo, OH
National Provider Identifier
1962569889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- COLONY PHARMACY, INC
- Practice address
- 2655 W Central Ave
Toledo, OH 43606-3550 - Phone
- (419) 473-1493
- Fax
- (419) 473-1529
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis Don Newsom, RPH
- Title
- Chief Executive Officer
- Phone
- (419) 473-1493
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | OH | Primary |
Addresses
Primary practice location
2655 W Central Ave
Toledo, OH 43606-3550
Mailing address
2655 W Central Ave
Toledo, OH 43606-3550
Phone (419) 473-1493
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3606615 | Other | OH | NCPDP |
| 0469578 | Medicaid | OH | |
| 04735 | Other | OH | PROVIDER ID |
Other names 1
- THE PHARMACY COUNTER
National Provider Directory
National Provider Directory- Tax ID family
- Colony Pharmacy Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Oregon, OH
- NPI 1427115476
-
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1194882084
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1962569889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2655 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063550",
"telephone_number": "419-473-1493",
"fax_number": "419-473-1529"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2655 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063550",
"telephone_number": "419-473-1493",
"fax_number": "419-473-1529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLONY PHARMACY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "NEWSOM",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "DON",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "419-473-1493",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPDP",
"identifier": "3606615",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0469578",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID",
"identifier": "04735",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "THE PHARMACY COUNTER",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.