Active NPI
Perry L Cobb, RPH
- Pharmacist
- Shawnee, KS
National Provider Identifier
1225631104
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 1-10966
- Practice address
- 13438 W 62ND Ter
Shawnee, KS 66216-1784 - Phone
- (913) 962-0352
- Fax
- (913) 248-0140
- NPI assigned
- Nov 20, 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 | 1-10966 | KS | Primary |
Addresses
Primary practice location
13438 W 62ND Ter
Shawnee, KS 66216-1784
Mailing address
13438 W 62ND Ter
Shawnee, KS 66216-1784
Phone (913) 962-0352
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 |
|---|---|---|---|
| 1-10966 | KS | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas CVS Pharmacy, L.L.C | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1225631104",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13438 W 62ND TER",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662161784",
"telephone_number": "913-962-0352",
"fax_number": "913-248-0140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13438 W 62ND TER",
"city": "SHAWNEE",
"state": "KS",
"postal_code": "662161784",
"telephone_number": "913-962-0352",
"fax_number": "913-248-0140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBB",
"first_name": "PERRY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-11-20",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KS",
"license": "1-10966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shawnee, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.