Walter Allan Cooley

Primary specialty

PharmacistTaxonomy code 183500000X

License

36547 Issued in CA

Practice address

1080 W F St
Oakdale, CA 95361-3677

Phone

(209) 847-2226

Fax

(209) 847-2226

NPI assigned

Dec 7, 2017

Last updated

Dec 7, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1124533419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 NORTHFIELD CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502180",
            "telephone_number": "209-526-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 W F ST",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613677",
            "telephone_number": "209-847-2226",
            "fax_number": "209-847-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOLEY",
        "first_name": "WALTER",
        "middle_name": "ALLAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "36547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norman Chock, M.D.
• Bruce Baysin Chou, M.D.
• Rachael Elyse Conde
• Hillary Conlan, MSN, FNP
• Mark Daniel Cook, M.D.
• Harold L Copp, PHARMD
• Jennifer R Cordier, MD
• Joseph Anthony Corso, DMD
• Kenneth Cosner, PHARM.D.
• Marc O Costley

• Pharmacist in Oakdale, CA
• Providers in Oakdale, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.