Cookes Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

05240 Issued in NC

Legal business name

COOKES PHARMACY INC

Doing business as

Cookes Pharmacy Inc

Practice address

1207 W Front St
Statesville, NC 28677-5052

Phone

(704) 873-9498

Fax

(704) 873-7483

NPI assigned

Jan 23, 2007

Last updated

Mar 27, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donnie Bowers, RPH

Title

Phcst Owner

Phone

(704) 872-6402

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• COOKES PHARMACY INC Doing business as

Locations

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1063566412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 W FRONT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 W FRONT ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286775052",
            "telephone_number": "704-873-9498",
            "fax_number": "704-873-7483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKES PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "BOWERS",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "PHCST OWNER",
        "authorized_official_telephone_number": "704-872-6402",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NC",
            "license": "05240",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0496000",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "3416915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COOKES PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Thomas Constantine, C.O.
• Kara Cook
• Kayleigh Ann Cook, LCAS
• Bridgette Ann Cooke, PA-C
• Daniel Cooke, LCMHC-A
• Michelle Ann Coomes, MA, LMFTA
• Rachael Marrie Cope, RN
• Cornerstone Health Care PA
• Kayla Corrigan
• Jordyn Cougler

• Community/Retail Pharmacy in Statesville, NC
• Providers in Statesville, NC by specialty
• Community/Retail Pharmacy in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.