COLPHARM INC NPI 1124040795

NPI Information

  • NPI: 1124040795
  • Provider Name: COLPHARM INC
  • Classification: Pharmacy - 3336C0003X
  • Specialization: Community/Retail Pharmacy
  • Entity Type: Organization
  • Doing Business As: COLONIAL PHARMACY
  • Address: 283-285 MAIN ST
    BENTON, PA
    ZIP 17814
  • Phone: (570) 925-5403

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NPI Details

COLPHARM INC is a community/retail pharmacy pharmacy in Benton, PA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. COLPHARM INC NPI is 1124040795. The provider is registered as an organization entity type.
The provider Is Doing Business As Colonial Pharmacy.

The provider's business location address is:

283-285 MAIN ST
BENTON, PA
ZIP 17814-251
Phone: (570) 925-5403
Fax: (570) 925-2622

The provider's authorized official is Robert Birth .
The authorized official title is Pres and has the following contact phone number (570) 458-5573.

The enumeration date for this NPI number is 7/24/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
13336C0003XPharmacyCommunity/Retail PharmacyPP415407LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11007631190001MEDICAIDPENNSYLVANIA
23974450OTHEROTHER ID NUMBER-COMMERCIAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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