Amanda Nicole Cooper

Primary specialty

Pharmacy TechnicianTaxonomy code 183700000X

License

218248 Issued in TX

Practice address

1821 S Valley Mills Dr
Waco, TX 76711-2118

Phone

(254) 757-3344

NPI assigned

Sep 15, 2021

Last updated

Sep 15, 2021By 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

State licenses

Practice roles

Locations

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.

• H-E-B, LP

  dba HEB Pharmacy #672

  • Community/Retail Pharmacy
  • Waco, TX
  • NPI 1376652719
  NPD
• H-E-B, LP

  dba HEB Pharmacy #812

  • Community/Retail Pharmacy
  • Georgetown, TX
  • NPI 1770393217
  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1184394728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 S VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767112118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 S VALLEY MILLS DR",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767112118",
            "telephone_number": "254-757-3344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "TX",
            "license": "218248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Storey Cook, LPC
• Stuart Cook, LPC
• Sara Cooley, LCSW
• Emilee Coon, MS, ATC, LAT, CSCS
• Mark Christopher Coons Jr., D.D.S.
• Beth Mehne Cooper
• Bruce Alan Cooper, LCDC,AADC, NCACII
• Diana Cuevas Cooper
• Lakeeyssa Cooper
• James Lloyd Copeland Jr., MD

• Pharmacy Technician in Waco, TX
• Providers in Waco, TX by specialty
• Pharmacy Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.

Verify at the official NPI Registry.