Individual provider Active NPI

Lisa Cook, PHARM. D., R.PH.

  • Pharmacist
  • Louisville, KY
National Provider Identifier
1124603840
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
010716 Issued in KY
Practice address
13410 Eastpoint Centre Dr Ste 101
Louisville, KY 40223-4160
Phone
(877) 662-6633
Fax
(877) 662-6355
NPI assigned
Mar 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 010716 KY Primary

Addresses

Primary practice location

13410 Eastpoint Centre Dr Ste 101
Louisville, KY 40223-4160

Mailing address

1774 Cedar CT NE
Corydon, IN 47112-7013
Phone (812) 968-4274

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lisa.cook@onco360.com

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, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
010716KYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1615766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1124603840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1774 CEDAR CT NE",
            "city": "CORYDON",
            "state": "IN",
            "postal_code": "471127013",
            "telephone_number": "812-968-4274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13410 EASTPOINT CENTRE DR STE 101",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402234160",
            "telephone_number": "877-662-6633",
            "fax_number": "877-662-6355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHARM. D., R.PH.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-15",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "010716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.cook@onco360.com",
            "affiliation": "N",
            "endpointDescription": "Work email",
            "address_1": "13410 Eastpoint Centre Dr Ste 101",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402234160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; 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.