Jerry P. Koehler, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH00011862 Issued in WA

Practice address

1758 Front St
#106
Lynden, WA 98264-1261

Phone

(360) 354-1226

NPI assigned

May 15, 2007

Sex

Male

Sole proprietor

No

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

Practice roles

Locations

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.

• Fairway Drug, Inc

  • Community/Retail Pharmacy
  • Lynden, WA
  • NPI 1780760454
  NPD Authorized official

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499299200000",
    "number": "1992911853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9160 KENDALL RD",
            "city": "SUMAS",
            "state": "WA",
            "postal_code": "982958608",
            "telephone_number": "360-988-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1758 FRONT ST",
            "address_2": "#106",
            "city": "LYNDEN",
            "state": "WA",
            "postal_code": "982641261",
            "telephone_number": "360-354-1226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "JERRY",
        "middle_name": "P.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2017-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH00011862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Alexander Klassen, AGENCY AFFLIATED COU
• Adriana Klein, PTA
• Robert Holt Klein, D.D.S.PS
• Kylie Klenoski, PHARMD
• Jennifer S. Koehler, R.PH.
• Duane Korthuis, ATC
• Jeremy Jacob Korthuis, DPT
• Steven Kenneth Korthuis, DPT
• Marilyn R. Korver, PT
• Amber Michelle Kreiger, L.AC.

• Pharmacist in Lynden, WA
• Providers in Lynden, WA by specialty
• Pharmacist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2017; 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.