Individual provider Active NPI

Amy Cook

  • Pharmacist
  • Kent, WA
National Provider Identifier
1003224890
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
PH60520717 Issued in WA
Practice address
25316 74TH Ave S Ste 105
Kent, WA 98032-6022
Phone
(800) 562-8386
NPI assigned
Jul 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 64261 CA
Pharmacist 183500000X PH60520717 WA Primary

Addresses

Primary practice location

25316 74TH Ave S Ste 105
Kent, WA 98032-6022

Mailing address

1713 SE 8TH St
Renton, WA 98057-3956
Phone (619) 436-6526

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

LicenseStateTypeSpecialty
64261CAMDPharmacist
PH60520717WAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Pharmacy Corporation of America CurrentSince Dec 6, 2022 Accepting new patients
Pharmacy Corporation of America PastSince Dec 6, 2022 Accepting new patients

Locations

25316 74th Ave S
#105
Kent, WA 98032
Phone (800) 562-8386

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1406160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1003224890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 SE 8TH ST",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980573956",
            "telephone_number": "619-436-6526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25316 74TH AVE S STE 105",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980326022",
            "telephone_number": "800-562-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "AMY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-24",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "64261",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "WA",
            "license": "PH60520717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kent, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2022; 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.