Kathleen Ann Cooper, RPH, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

26344 Issued in NC

Practice address

704 S Memorial Dr
Greenville, NC 27834-3738

Phone

(252) 758-4104

Fax

(252) 758-8081

NPI assigned

Jul 21, 2016

Last updated

Nov 17, 2020By the provider in NPPES

Sex

Female

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

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1144673427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 S MEMORIAL DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343738",
            "telephone_number": "252-758-4104",
            "fax_number": "252-758-8081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 S MEMORIAL DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278343738",
            "telephone_number": "252-758-4104",
            "fax_number": "252-758-8081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 N Main St",
            "address_purpose": "LOCATION",
            "city": "Walnut Cove",
            "state": "NC",
            "postal_code": "270529248",
            "country_code": "US",
            "telephone_number": "336-591-4351",
            "fax_number": "336-591-3053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "RPH, PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "26344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Danielle Cooley, LMBT
• Elizabeth Cooper, PHARMD
• James Bryan Cooper, M.D.
• Jeffrey Austin Cooper, MD
• Jordan P. P. Cooper, MD
• Lyle Ray Cooper, MD
• Sequoyia Cooper
• Hunter Allen Coore, M.D.
• Jennifer Cope, MSW. LCSW
• Benjamin Judson Copeland, M.D.

• Pharmacist in Greenville, NC
• Providers in Greenville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.