Active NPI
Kelly T Cook, RPH
- Pharmacist
- Keene, NH
National Provider Identifier
1194006692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R1550
- Practice address
- 440 West St
Keene, NH 03431-2453 - Phone
- (603) 357-1002
- Fax
- (603) 352-6974
- NPI assigned
- Aug 30, 2011
- 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 | R1550 | NH | Primary |
Addresses
Primary practice location
440 West St
Keene, NH 03431-2453
Mailing address
440 West St
Keene, NH 03431-2453
Phone (603) 357-1002
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1550 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314662400000",
"number": "1194006692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 WEST ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034312453",
"telephone_number": "603-357-1002",
"fax_number": "603-352-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 WEST ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034312453",
"telephone_number": "603-357-1002",
"fax_number": "603-352-6974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "KELLY",
"middle_name": "T",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-30",
"last_updated": "2011-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.