Cooper Drug Inc.

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PS005254 Issued in KS

Legal business name

COOPER DRUG INC.

Practice address

509 State St
Augusta, KS 67010-1107

Phone

(316) 775-2289

Fax

(316) 775-2280

NPI assigned

Oct 2, 2006

Last updated

Oct 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brett KappelmannNPI 1982202354

Title

Owner

Phone

(316) 775-2289

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Tax ID family

Cooper Drug Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cooper Drug Inc

  dba Golden Plains Pharmacy Services

  • Long Term Care Pharmacy
  • Augusta, KS
  • NPI 1669700845
  NPD tax ID

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brett M Kappelmann, PHARMD

  • Pharmacist
  • Augusta, KS
  • NPI 1982202354
  NPD (past) Authorized official
• Nellie Gillies

  • Pharmacist
  • Augusta, KS
  • NPI 1780040535
  NPD (past)
• Raney Mikayla Pearl Good

  • Pharmacist
  • Augusta, KS
  • NPI 1760017370
  NPD (past)
• Makenna Lynn Greenfield, PHARMD

  • Pharmacist
  • Augusta, KS
  • NPI 1750819041
  NPD (past)
• Rachel Henman, PHARMD

  • Pharmacist
  • Augusta, KS
  • NPI 1396284527
  NPD (past)
• Jeremy Todd McDonald, PHARMD

  • Pharmacist
  • Wichita, KS
  • NPI 1063957058
  NPD (past)
• Heather Allison O'Gorman

  • Pharmacist
  • Augusta, KS
  • NPI 1598363988
  NPD (past)
• Mallory Paradis, PHARMD

  • Pharmacist
  • Augusta, KS
  • NPI 1780086744
  NPD (past)
• Erica J Parente, CPHT

  • Pharmacy Technician
  • Augusta, KS
  • NPI 1568060911
  NPD (past)
• Kali Lauren Taylor, PHARMD

  • Pharmacist
  • Augusta, KS
  • NPI 1407372444
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1104919943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101107",
            "telephone_number": "316-775-2289",
            "fax_number": "316-775-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101107",
            "telephone_number": "316-775-2289",
            "fax_number": "316-775-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER DRUG INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "KAPPELMANN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-775-2289"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "KS",
            "license": "202834",
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KS",
            "license": "PS005254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "1004344000B",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marqueretta Kendralyn Clary
• Angela Marie Cline, RN
• Lauren Cockrell, LMLP-T
• Jane E Constance, SLP, M.A. CCC
• Cooper Drug Inc (Golden Plains Pharmacy Services)
• J. David Crum, O.D.
• Christine Davis
• Dee Ann Debano-Burns, M.A. C.C.C.-SLP
• Lindsay Depperschmidt
• Shellie Dettweiler, RN

• Community/Retail Pharmacy in Augusta, KS
• Providers in Augusta, KS by specialty
• Community/Retail Pharmacy in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.