Ronald Exley Cook, RPH
Individual provider Active NPI Pharmacist · Garden City, GA
NPI 1194473777 · NPPES record last updated Mar 14, 2022
Key facts
- NPI
- 1194473777
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- RPH011107 (GA)
- Practice address
- 516 US Highway 80 W
Garden City, GA 31408-3108 - Phone
- (912) 966-1416
- Fax
- (912) 966-1417
- NPI assigned
- Mar 14, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH011107 | GA | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH011107 | GA | Yes |
Addresses
Primary practice location
516 US Highway 80 W
Garden City, GA 31408-3108
Mailing address
523 Dresler Rd
Rincon, GA 31326-4749
Phone (912) 667-0342
Other providers in Garden City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.