MR. BRAD ALLEN KOLAR


Address: Corner of Hwy 12 and Nr 110, Fort Defiance, AZ 86504
Phone: 9287298328

MR. BRAD ALLEN KOLAR (NPI# 1134503410) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134503410
Entity Type Individual
Full Name MR. BRAD ALLEN KOLAR
Credential PHARMD
Practice Address Corner of Hwy 12 and Nr 110
Fort Defiance
AZ 86504
Mailing Address Po Box 649
Fort Defiance
AZ 86504-0649
Practice Telephone 9287298328
Practice Fax Number 9287298348
Mailing Telephone 9287298328
Mailing Fax Number 9287298348
Enumeration Date 2015-07-16
Last Update Date 2015-07-16
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 183500000X Pharmacist 051.293668 IL Pharmacy Service Providers

Office Location

Street Address CORNER OF HWY 12 AND NR 110
City FORT DEFIANCE
State AZ
Zip Code 86504

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942807664 Clifford Charles Pharmacist Corners of Route 7&12, Fort Defiance, AZ 86504 2020-10-06
1720605207 Christopher A Will Registered Nurse 2126-1 Shandiin Circle, Fort Defiance, AZ 86504 2020-06-30
1750904207 Crystal Salaz Respiratory Therapist, Registered Corner of Roue N12 and N7, Fort Defiance, AZ 86504 2020-05-19
1003451600 Rebecca Reeve Pharmacist Tsehootsooi Medical Center, Corner of Indian Route 7 and 12, Fort Defiance, AZ 86504 2019-11-07
1851947485 David Glen Webb Pharmacist Hwy 12 Nr 110, Fort Defiance, AZ 86504 2019-08-09
1952963647 Eukerison Bobby Tsinajinie Counselor .25 Miles S Fieldhouse Ra 6905, Fort Defiance, AZ 86504 2019-07-02
1770145567 Joann Tso I Counselor 1/4 Mile Ne of Ft. Defiance Fieldhouse, Ft. Defiance, AZ 86504 2019-07-02
1174185961 James Leslie Counselor 1/4 Mile South of Ft Defiance Fieldhouse Ra#6905, Ft Defiance, AZ 86504 2019-07-02
1184192163 Miranda Frances Blatchford Social Worker .5 Miles Sw of The Fd Field House, Bldg #6905, Fort Defiance, AZ 86504 2018-11-07
1477030914 Michelle Rosario Dietitian, Registered Fort Defiance Indian Hospital Board, Inc., Corner of Route N12 and N7, Fort Defiance, AZ 86504 2018-07-27
Find all providers in zip 86504

Taxonomy Information

Taxonomy Code 183500000X
Grouping Pharmacy Service Providers
Classification Pharmacist

Taxonomy Definition

An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1942807664 Clifford Charles Pharmacist Corners of Route 7&12, Fort Defiance, AZ 86504 2020-10-06
1851947485 David Glen Webb Pharmacist Hwy 12 Nr 110, Fort Defiance, AZ 86504 2019-08-09
1992218341 Sally Doan Pharmacist Indian Rte 7 & Indn Route 12, Fort Defiance, AZ 86504 2017-11-08
1124531611 Dieumy Tonnu Pharmacist Po Box 649, Fort Defiance, AZ 86504-0649 2017-11-07
1942719224 Kaley Susanne Dorsey Pharmacist Indian Route 7 & Indn Route 12, Fort Defiance, AZ 86504 2017-09-29
1275919466 Sherry Hou Pharmacist Intersection of Highways N12 & N7, Fort Defiance, AZ 86504 2015-08-11
1801272919 Daniil Marchuk Pharmacist Corner of Hwy 12 Nr 110, Fort Defiance, AZ 86504 2015-07-31
1689051922 Shanly Michael Chen Pharmacist Corner of Routes N12 & N7 B649, Fort Defiance, AZ 86504-0649 2015-05-06
1174954051 Aaron Chessy Clark Pharmacist Corners of Routes N12 & N7, Fort Defiance, AZ 86504-0649 2013-12-03
1508295445 Gayle Tuckett Pharmacist Corners of Routes N12&n7, Fort Defiance, AZ 86504-0649 2013-11-01
Find all providers in FORT DEFIANCE

Competitor

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City FORT DEFIANCE
Zip Code 86504

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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