Ivey L McCook III

Primary specialty

PharmacistTaxonomy code 183500000X

License

014054 Issued in GA

Practice address

23630A Hwy 80 East
Statesboro, GA 30458

Phone

(912) 764-2223

Fax

(912) 764-2228

NPI assigned

Oct 19, 2006

Last updated

Nov 17, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

Locations

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

• Sharpe McCook Pharmacy

  dba McCook's Pharmacy

  • Community/Retail Pharmacy
  • Statesboro, GA
  • NPI 1477637627
  Authorized official Same address or phone
• McCooks Pharmacy Inc

  • Community/Retail Pharmacy
  • Statesboro, GA
  • NPI 1619953205
  NPD

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510876800000",
    "number": "1073695904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23630 US HIGHWAY 80 E",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616019",
            "telephone_number": "912-764-2223",
            "fax_number": "912-764-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23630A HWY 80 EAST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "30458",
            "telephone_number": "912-764-2223",
            "fax_number": "912-764-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOOK",
        "first_name": "IVEY",
        "middle_name": "L",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2017-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "014054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susanne Lane Maxwell, RPH
• Ogechi Helen Mbakwe, MD
• Abby McAvoy, DPT
• Trevor McBride
• Daryl Petersen McCartney, M.D.
• Janie L McCook, RPH
• Josh Leonard McCook, PHARM D
• McCooks Pharmacy Inc
• Jennifer Futch McCoy, PHARMD.
• Mark S McCracken, MD

• Pharmacist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Pharmacist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.