Crystal Cooper, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

34897 Issued in TN

Practice address

1 Cameron Hill Cir
Chattanooga, TN 37402-9815

Phone

(706) 847-7250

NPI assigned

Jun 25, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Dunlap, TN
  • NPI 1356406573
  NPD (past)
• Wal-Mart Stores East, LP

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Chatsworth, GA
  • NPI 1710192091
  NPD (past)

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677542400000",
    "number": "1063723856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CAMERON HILL CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374029815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CAMERON HILL CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374029815",
            "telephone_number": "706-847-7250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16773 Rankin Ave",
            "address_purpose": "LOCATION",
            "city": "Dunlap",
            "state": "TN",
            "postal_code": "373277021",
            "country_code": "US",
            "telephone_number": "423-949-5056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1101 N 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Chatsworth",
            "state": "GA",
            "postal_code": "307052025",
            "country_code": "US",
            "telephone_number": "706-517-1354",
            "fax_number": "706-517-1121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CRYSTAL",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "34897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria S Cooke, M.D
• Johnathan Cooks, MD
• Demetrus Coonrod
• Austin Taylor Cooper, AGACNP- BC
• Colton David Cooper, PA-C
• Heather Michelle Cooper, CRNA
• Jaimee Cooper
• Jeril Ransom Cooper IV, DMD
• Kayla Patton Cooper, FNP-C
• Lori Ann Cooper

• Pharmacist in Chattanooga, TN
• Providers in Chattanooga, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; 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.