Active NPI
Cookes Pharmacy Inc
- Community/Retail Pharmacy
- Troy, PA
National Provider Identifier
1124019773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- COOKES PHARMACY INC
- Practice address
- 14 Elmira St
Troy, PA 16947 - Phone
- (570) 297-2848
- Fax
- (570) 297-2841
- NPI assigned
- Nov 2, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andrew Haflett
- Title
- President
- Phone
- (570) 297-2848
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | PP411514L | PA | |
| Pharmacy | 333600000X | PP411514L | PA | |
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
14 Elmira St
Troy, PA 16947
Mailing address
14 Elmira St
Troy, PA 16947
Phone (570) 297-2848
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3926930 | Other | NABP | |
| 0005827560001 | Medicaid | PA |
Other names 1
- Cookes Pharmacy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930082208 | PA | DME Supplier - Pharmacy | 3375751282 | Practice locations: Troy, PA |
| O20241001001060 | PA | Part B Supplier - Pharmacy | 3375751282 | Practice locations: Troy, PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Troy, PA
- NPI 1073974655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751414400000",
"number": "1124019773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 ELMIRA ST",
"city": "TROY",
"state": "PA",
"postal_code": "16947",
"telephone_number": "570-297-2848",
"fax_number": "570-297-2841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 ELMIRA ST",
"city": "TROY",
"state": "PA",
"postal_code": "16947",
"telephone_number": "570-297-2848",
"fax_number": "570-297-2841"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOKES PHARMACY INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-02",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A",
"authorized_official_last_name": "HAFLETT",
"authorized_official_first_name": "ANDREW",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "570-297-2848"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "PA",
"license": "PP411514L",
"primary": false
},
{
"code": "333600000X",
"taxonomy_group": "",
"desc": "Pharmacy",
"state": "PA",
"license": "PP411514L",
"primary": false
},
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "3926930",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0005827560001",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Cookes Pharmacy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Troy, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.