Active NPI
Ted Elliot Cohen, RPH
- Pharmacist
- Lehigh Acres, FL
National Provider Identifier
1295913275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS49621
- Practice address
- 645 Chambers St. East
Lehigh Acres, FL 33974 - Phone
- (239) 770-6798
- NPI assigned
- Feb 1, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 029124 | NY | |
| Pharmacist | 183500000X | PS49621 | FL | Primary |
Addresses
Primary practice location
645 Chambers St. East
Lehigh Acres, FL 33974
Mailing address
645 Chambers St. East
Lehigh Acres, FL 33974
Phone (239) 770-6798
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 |
|---|---|---|---|
| PS49621 | FL | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630540800000",
"number": "1295913275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "645 CHAMBERS ST. EAST",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "33974",
"telephone_number": "239-770-6798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "645 CHAMBERS ST. EAST",
"city": "LEHIGH ACRES",
"state": "FL",
"postal_code": "33974",
"telephone_number": "239-770-6798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "TED",
"middle_name": "ELLIOT",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-02-01",
"last_updated": "2021-09-02",
"certification_date": "2021-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "029124",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS49621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lehigh Acres, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.