Active NPI
Larry Jeffrey Cook, RPH
- Pharmacist
- St George, UT
National Provider Identifier
1053694562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2696
- Practice address
- 1920 N Lakota Dr Unit 62
Saint George, UT 84770-7441 - Phone
- (435) 272-4767
- Fax
- (435) 272-4676
- NPI assigned
- Sep 21, 2011
- Last updated
- Sep 21, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH008757 | GA | |
| Pharmacist | 183500000X | 2696 | WY | Primary |
Addresses
Primary practice location
1920 N Lakota Dr Unit 62
Saint George, UT 84770-7441
Mailing address
1920 N Lakota Dr Unit 62
Saint George, UT 84770-7441
Phone (435) 272-4767
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
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH008757 | GA | MD | Pharmacist |
| 2696 | WY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1053694562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1920 N LAKOTA DR UNIT 62",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847707441",
"telephone_number": "435-272-4767",
"fax_number": "435-272-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1920 N LAKOTA DR UNIT 62",
"city": "SAINT GEORGE",
"state": "UT",
"postal_code": "847707441",
"telephone_number": "435-272-4767",
"fax_number": "435-272-4676"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "LARRY",
"middle_name": "JEFFREY",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH008757",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WY",
"license": "2696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St George, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.