Coopers Pharmacy LLC

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PENDING Issued in LA

Legal business name

COOPERS PHARMACY LLC

Practice address

810 W Highway 30
Gonzales, LA 70737-4806

Phone

(225) 450-6299

NPI assigned

Jul 26, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Derek Berggren

Title

Owner

Phone

(225) 975-5715

Specialties & licenses 1

Addresses

Other names 1

• Cooper's Pharmacy Doing business as

Locations

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

{
    "created_epoch": "1532563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532563200000",
    "number": "1205313897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41117 CLEARWATER AVE",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707370731",
            "telephone_number": "225-975-5715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 W HIGHWAY 30",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "707374806",
            "telephone_number": "225-450-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPERS PHARMACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-26",
        "last_updated": "2018-07-26",
        "status": "A",
        "authorized_official_last_name": "BERGGREN",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "225-975-5715"
    },
    "taxonomies": [
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "LA",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cooper's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cooper's Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert Ken Coleman, D.C.
• Rosa Elena Coleman, RN
• Toi J Collins
• Community Opportunities of E. Ascension
• Comprehensive Pain Management, LLC
• Matthew Duane Copple, D.O.
• Cathy Corbin
• Kelli Clebert Corkern, NP
• Christopher Cortez
• Megan H Cotten, SLP

• Community/Retail Pharmacy in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Community/Retail Pharmacy in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.