Active NPI
Kevin Cooper, PHARMD.
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- Charlotte, NC
National Provider Identifier
1285165258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
- License
- 14422
- Practice address
- 1025 Morehead Medical Dr Ste 600
Charlotte, NC 28204-2969 - Phone
- (704) 355-6095
- Fax
- (704) 355-5010
- NPI assigned
- Mar 22, 2017
- Last updated
- Mar 22, 2017
- 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 Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 14422 | NC | Primary |
Addresses
Primary practice location
1025 Morehead Medical Dr Ste 600
Charlotte, NC 28204-2969
Mailing address
1025 Morehead Medical Dr Ste 600
Charlotte, NC 28204-2969
Phone (704) 355-6095
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 |
|---|---|---|---|
| 14422 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490140800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490140800000",
"number": "1285165258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MOREHEAD MEDICAL DR STE 600",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042969",
"telephone_number": "704-355-6095",
"fax_number": "704-355-5010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MOREHEAD MEDICAL DR STE 600",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042969",
"telephone_number": "704-355-6095",
"fax_number": "704-355-5010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "KEVIN",
"credential": "PHARMD.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-22",
"last_updated": "2017-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "NC",
"license": "14422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.