Active NPI
Colt Cooney, PHARMD
- Pharmacist
- Wisconsin Rapids, WI
National Provider Identifier
1205453933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 16121-40
- Practice address
- 2410 8TH St S
Wisconsin Rapids, WI 54494-6159 - Phone
- (715) 423-2340
- Fax
- (715) 423-2349
- NPI assigned
- Jun 29, 2020
- Last updated
- Jun 29, 2020
- 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 | 16121-40 | WI | Primary |
Addresses
Primary practice location
2410 8TH St S
Wisconsin Rapids, WI 54494-6159
Mailing address
2410 8TH St S
Wisconsin Rapids, WI 54494-6159
Phone (715) 423-2340
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16121-40 | WI | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wisconsin CVS Pharmacy LLC | Past | Accepting new patients | |
| Wisconsin CVS Pharmacy 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": "1593388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593388800000",
"number": "1205453933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2410 8TH ST S",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544946159",
"telephone_number": "715-423-2340",
"fax_number": "715-423-2349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 8TH ST S",
"city": "WISCONSIN RAPIDS",
"state": "WI",
"postal_code": "544946159",
"telephone_number": "715-423-2340",
"fax_number": "715-423-2349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONEY",
"first_name": "COLT",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-29",
"last_updated": "2020-06-29",
"certification_date": "2020-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "WI",
"license": "16121-40",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wisconsin Rapids, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.