Active NPI
Travis Cooper
- Pharmacist
- Morgantown, WV
National Provider Identifier
1154087427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP0012726
- Practice address
- 1000 Pineview Dr
Morgantown, WV 26505-2721 - Phone
- (304) 598-7535
- NPI assigned
- Nov 11, 2021
- Last updated
- Nov 11, 2021
- Sex
- Male
- 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 | RP0012726 | WV | Primary |
Addresses
Primary practice location
1000 Pineview Dr
Morgantown, WV 26505-2721
Mailing address
3106 Grants Dr
Morgantown, WV 26505-1736
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 |
|---|---|---|---|
| RP0012726 | WV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| West Virginia CVS Pharmacy LLC | Past | Accepting new patients | |
| West Virginia CVS Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636588800000",
"number": "1154087427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3106 GRANTS DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PINEVIEW DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052721",
"telephone_number": "304-598-7535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "TRAVIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-11-11",
"last_updated": "2021-11-11",
"certification_date": "2021-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WV",
"license": "RP0012726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
- Alicia Cooper, PA
- Clinton Garret Cooper, M.D., PH.D.
- Isabelle Cooper, PA
- Meghan Cooper, NNP-BC
- Melinda Nicole Cooper, MD
- Adrienne Ruth Coopey, D.O.
- Jared Copeland
- Miracle Queen Elizabeth Copeland
- Jacquelynn Anna Copenhaver, LMT
- Coram Alternate Site Services, Inc. (Coram CVS/specialty Infusion Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.