Active NPI
Andrea Jo Kooiker
- Pharmacist
- Fort Knox, KY
National Provider Identifier
1144927104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 011701
- Practice address
- 160 Binter St
Fort Knox, KY 40121-5160 - Phone
- (502) 624-9222
- NPI assigned
- Feb 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 011701 | KY | Primary |
Addresses
Primary practice location
160 Binter St
Fort Knox, KY 40121-5160
Mailing address
927 Lower Colesburg Rd
Elizabethtown, KY 42701-6181
Phone (270) 300-4175
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 011701 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675987200000",
"number": "1144927104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 LOWER COLESBURG RD",
"city": "ELIZABETHTOWN",
"state": "KY",
"postal_code": "427016181",
"telephone_number": "270-300-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 BINTER ST",
"city": "FORT KNOX",
"state": "KY",
"postal_code": "401215160",
"telephone_number": "502-624-9222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOOIKER",
"first_name": "ANDREA",
"middle_name": "JO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-10",
"last_updated": "2023-02-10",
"certification_date": "2023-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "011701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Knox, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.