Individual provider Active NPI

Tamara Cook

  • Pharmacist
  • Boynton Beach, FL
National Provider Identifier
1003291410
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
36207 Issued in SC
Practice address
3200 Old Boynton Rd
Boynton Beach, FL 33436-6506
Phone
(561) 742-4055
NPI assigned
Jul 27, 2015
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 36207 SC Primary
Pharmacist 183500000X PS59528 FL

Addresses

Primary practice location

3200 Old Boynton Rd
Boynton Beach, FL 33436-6506

Mailing address

10139 157TH St N
Jupiter, FL 33478-9372
Phone (561) 596-1238

Other practice location 1

1326 Bush River Rd
Columbia, SC 29210-6804
Phone (803) 750-3284

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
PS59528FLMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1003291410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10139 157TH ST N",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334789372",
            "telephone_number": "561-596-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 OLD BOYNTON RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334366506",
            "telephone_number": "561-742-4055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1326 Bush River Rd",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292106804",
            "country_code": "US",
            "telephone_number": "803-750-3284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "TAMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-27",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "SC",
            "license": "36207",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS59528",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2020; 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.