Individual provider Active NPI

Trisha Cooper

  • Pharmacist
  • Greenville, MI
National Provider Identifier
1053906214
Registry record updated Mar 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
5303022409 Issued in MI
Practice address
10772 W Carson City Rd
Greenville, MI 48838-9141
Phone
(616) 754-5203
Fax
(616) 754-5372
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
Yes

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
5303022409MIMDPharmacist

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 5303022409 MI Primary

Addresses

NPPES NPI Registry

Primary practice location

10772 W Carson City Rd
Greenville, MI 48838-9141

Mailing address

8380 N Musson Rd
Six Lakes, MI 48886-9520
Phone (616) 821-0184

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 9, 2021.

{
    "created_epoch": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615248000000",
    "number": "1053906214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 N MUSSON RD",
            "city": "SIX LAKES",
            "state": "MI",
            "postal_code": "488869520",
            "telephone_number": "616-821-0184",
            "fax_number": "616-754-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10772 W CARSON CITY RD",
            "city": "GREENVILLE",
            "state": "MI",
            "postal_code": "488389141",
            "telephone_number": "616-754-5203",
            "fax_number": "616-754-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "TRISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2021-03-09",
        "certification_date": "2021-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5303022409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2021; 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.