Active NPI
James Willard Coker, PHARM.D.
- Pharmacist
- Rogersville, MO
National Provider Identifier
1265419899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 2002027601
- Practice address
- 317 S Main St
Rogersville, MO 65742-9361 - Phone
- (417) 753-7774
- Fax
- (417) 753-7786
- NPI assigned
- Dec 23, 2005
- Last updated
- May 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 2002027601 | MO | Primary |
Addresses
Primary practice location
317 S Main St
Rogersville, MO 65742-9361
Mailing address
317 S Main St
Rogersville, MO 65742-9361
Phone (417) 753-7774
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 359263209 | Medicaid | MO |
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 |
|---|---|---|---|
| 2002027601 | MO | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| L&J Pharmacy Inc | Current | Accepting new patients | |
| L&J Pharmacy Inc | Current | Accepting new patients |
Locations
317 S Main St
Rogersville, MO 65742
Phone (417) 753-7774
319 S Main St
Ste N
Rogersville, MO 65742
Phone (417) 753-7774
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": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684540800000",
"number": "1265419899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 S MAIN ST",
"city": "ROGERSVILLE",
"state": "MO",
"postal_code": "657429361",
"telephone_number": "417-753-7774",
"fax_number": "417-753-7786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "317 S MAIN ST",
"city": "ROGERSVILLE",
"state": "MO",
"postal_code": "657429361",
"telephone_number": "417-753-7774",
"fax_number": "417-753-7786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COKER",
"first_name": "JAMES",
"middle_name": "WILLARD",
"name_prefix": "Dr.",
"credential": "PHARM.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-23",
"last_updated": "2023-05-20",
"certification_date": "2023-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MO",
"license": "2002027601",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "359263209",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogersville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.