Active NPI
Patrick Manning Cook, PHARM.D.
- Pharmacist
- Buchanan, GA
National Provider Identifier
1083835946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH020833
- Practice address
- 406 Carrollton St
Buchanan, GA 30113 - Phone
- (770) 646-3570
- Fax
- (770) 646-3571
- NPI assigned
- May 1, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | RPH020833 | GA | Primary |
Addresses
Primary practice location
406 Carrollton St
Buchanan, GA 30113
Mailing address
P.O. Box 369
Buchanan, GA 30113
Phone (770) 646-3570
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RPH020833 | Other | GA | STATE LICENSE NO. |
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 |
|---|---|---|---|
| RPH020833 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jim Cash Pharmacy LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083835946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 369",
"city": "BUCHANAN",
"state": "GA",
"postal_code": "30113",
"telephone_number": "770-646-3570",
"fax_number": "770-646-3571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "406 CARROLLTON ST",
"city": "BUCHANAN",
"state": "GA",
"postal_code": "30113",
"telephone_number": "770-646-3570",
"fax_number": "770-646-3571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "PATRICK",
"middle_name": "MANNING",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH020833",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NO.",
"identifier": "RPH020833",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buchanan, GA
- Buchanan Healthcare Center LLC
- Buchanan SCC Inc (Countryside Health Center)
- Comfort Care Ministries, Inc (West Georgia Counseling and Educational Services)
- Christopher Evan Cook, OD
- Jeremiah Eugene Cook
- Cornerstone Autism Solutions LLC
- Countryside Nursing LLC (Countryside Health Center)
- CS SNF LLC (Countryside Health Center)
- Denis Morin (Buchanan Medical Clinic)
- Denis Morin (buchanan medical clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.