John E Kocka

Primary specialty

PharmacistTaxonomy code 183500000X

License

2001024845 Issued in MO

Practice address

12098 Lusher Rd
Saint Louis, MO 63138-1302

Phone

(314) 355-0500

Fax

(314) 355-9695

NPI assigned

Sep 1, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Walgreen Co

  dba Walgreens #03907

  • Pharmacy
  • Swansea, IL
  • NPI 1548276025
  NPD (past)
• Walgreen Co

  dba Walgreens #21605

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

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

{
    "created_epoch": "1314835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671235200000",
    "number": "1104107390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2532 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262353",
            "telephone_number": "618-236-3928",
            "fax_number": "618-236-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12098 LUSHER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631381302",
            "telephone_number": "314-355-0500",
            "fax_number": "314-355-9695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCKA",
        "first_name": "JOHN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-01",
        "last_updated": "2022-12-17",
        "certification_date": "2022-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051.293992",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MO",
            "license": "2001024845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David T Koch, LPC
• Jonathan Donald Koch, BSN, RN
• Melissa Koch, PLPC
• Drew Kochman
• Margaret Kocisak
• Robert Kocur, M.D.
• Ahalya Kodali, MD
• Divya Kodali, MD
• Kelsie Chizuko Kodama, MD
• Rohan Kodgule, MD

• Pharmacist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pharmacist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2022; 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.