Joanie M Cooper, RPH
Individual provider Active NPI Pharmacist · Milton, GA
NPI 1033487293 · NPPES record last updated Dec 2, 2011
Key facts
- NPI
- 1033487293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH025814 (GA)
- Practice address
- 3116 Heybridge LN
Milton, GA 30004-5835 - Phone
- (770) 667-8033
- NPI assigned
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH025814 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH025814 | GA | Yes |
Addresses
Primary practice location
3116 Heybridge LN
Milton, GA 30004-5835
Mailing address
3116 Heybridge LN
Milton, GA 30004-5835
Phone (770) 667-8033
Other providers in Milton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.