Active NPI
Angela Marie Cooper
- Pharmacist
- Abingdon, VA
National Provider Identifier
1003174996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202204801
- Practice address
- 16000 Johnston Memorial Dr
Abingdon, VA 24211-7659 - Phone
- (276) 258-3050
- NPI assigned
- Apr 27, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202204801 | VA | Primary |
Addresses
Primary practice location
16000 Johnston Memorial Dr
Abingdon, VA 24211-7659
Mailing address
16000 Johnston Memorial Dr
Abingdon, VA 24211-7659
Phone (276) 628-9183
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202204801 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335484800000",
"number": "1003174996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117659",
"telephone_number": "276-628-9183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16000 JOHNSTON MEMORIAL DR",
"city": "ABINGDON",
"state": "VA",
"postal_code": "242117659",
"telephone_number": "276-258-3050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "ANGELA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-27",
"last_updated": "2012-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202204801",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Abingdon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.