Active NPI
Amy Cook
- Pharmacist
- Kent, WA
National Provider Identifier
1003224890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PH60520717
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 64261 | CA | MD | Pharmacist |
| PH60520717 | WA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pharmacy Corporation of America | Current | Accepting new patients | |
| Pharmacy Corporation of America | Past | 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.
-
- Long Term Care Pharmacy
- Kent, WA
- NPI 1609809284
-
- Long Term Care Pharmacy
- Milwaukee, WI
- NPI 1124665336
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.