Active NPI
Edward Champion Cooper, PHARM.D.
- Pharmacist
- Austin, TX
National Provider Identifier
1174316574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 48586
- Practice address
- 101 W Koenig LN Unit 400
Austin, TX 78751-1273 - Phone
- (512) 394-3101
- NPI assigned
- May 28, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 48586 | TX | Primary |
Addresses
Primary practice location
101 W Koenig LN Unit 400
Austin, TX 78751-1273
Mailing address
101 W Koenig LN Unit 400
Austin, TX 78751-1273
Phone (512) 394-3101
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48586 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avita Drugs, LLC | Current | Accepting new patients | |
| Avita Drugs, LLC | Past | Accepting new patients |
Locations
101 W Koenig Ln
Unit 400
Austin, TX 78751
Phone (512) 394-3101
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748390400000",
"number": "1174316574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 W KOENIG LN UNIT 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787511273",
"telephone_number": "512-394-3101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 W KOENIG LN UNIT 400",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787511273",
"telephone_number": "512-394-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "EDWARD",
"middle_name": "CHAMPION",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-28",
"last_updated": "2025-05-28",
"certification_date": "2025-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "48586",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.