Individual provider Active NPI

Karla Cooper, PHARM.D.

  • Pharmacist
  • Jackson Heights, NY
National Provider Identifier
1104123157
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
055435 Issued in NY
Practice address
8210 37TH Ave
Jackson Heights, NY 11372-7023
Phone
(718) 205-5001
Fax
(718) 205-5644
NPI assigned
Feb 25, 2011
Last updated
Dec 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 055435 NY Primary

Addresses

Primary practice location

8210 37TH Ave
Jackson Heights, NY 11372-7023

Mailing address

115 Sayre PL
Valley Stream, NY 11580-5011
Phone (917) 575-8063

Other practice location 1

3771 103rd St
Corona, NY 11368-1952
Phone (718) 779-4450

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

LicenseStateTypeSpecialty
055435NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Naima Pharmacy Corp PastSince Dec 9, 2019 Accepting new patients
Big Apple Pharmacy Corp Past Accepting new patients
Har Har Pharmacy Corp PastSince Dec 14, 2025 Accepting new patients

Organizations & group practices 3

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": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575331200000",
    "number": "1104123157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SAYRE PL",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805011",
            "telephone_number": "917-575-8063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8210 37TH AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727023",
            "telephone_number": "718-205-5001",
            "fax_number": "718-205-5644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3771 103rd St",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "NY",
            "postal_code": "113681952",
            "country_code": "US",
            "telephone_number": "718-779-4450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KARLA",
        "name_prefix": "Dr.",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2019-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NY",
            "license": "055435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; 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.