Active NPI
Corbin Reed Cook, PHARMD
- Pharmacist
- Kinston, NC
National Provider Identifier
1053922153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 29541
- Practice address
- 4101 W Vernon Ave
Kinston, NC 28504-9699 - Phone
- (252) 527-3100
- NPI assigned
- Aug 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 29541 | NC | Primary |
Addresses
Primary practice location
4101 W Vernon Ave
Kinston, NC 28504-9699
Mailing address
5604 Cardinal Way
Greensboro, NC 27410-9295
Phone (336) 312-6486
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29541 | Other | NC | PHARMACIST LICENSE NUMBER |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29541 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597190400000",
"number": "1053922153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5604 CARDINAL WAY",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274109295",
"telephone_number": "336-312-6486"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4101 W VERNON AVE",
"city": "KINSTON",
"state": "NC",
"postal_code": "285049699",
"telephone_number": "252-527-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "CORBIN",
"middle_name": "REED",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-08-12",
"last_updated": "2020-08-12",
"certification_date": "2020-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NC",
"license": "29541",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST LICENSE NUMBER",
"identifier": "29541",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.