Active NPI
Kenneth Cooper
- Pharmacist
- Rock Hill, SC
National Provider Identifier
1184029746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6069
- Practice address
- 1260 E Main St
Rock Hill, SC 29730-5948 - Phone
- (803) 327-2049
- Fax
- (803) 327-0092
- NPI assigned
- Oct 24, 2014
- Last updated
- Oct 24, 2014
- 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 | 6069 | SC | Primary |
Addresses
Primary practice location
1260 E Main St
Rock Hill, SC 29730-5948
Mailing address
1260 E Main St
Rock Hill, SC 29730-5948
Phone (803) 327-2049
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Food Lion, LLC | Past | Accepting new patients | |
| Food Lion 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": "1414108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414108800000",
"number": "1184029746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 E MAIN ST",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297305948",
"telephone_number": "803-327-2049",
"fax_number": "803-327-0092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 E MAIN ST",
"city": "ROCK HILL",
"state": "SC",
"postal_code": "297305948",
"telephone_number": "803-327-2049",
"fax_number": "803-327-0092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KENNETH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-10-24",
"last_updated": "2014-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "SC",
"license": "6069",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Hill, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.