Individual provider Active NPI

Alicia Denise Williams Cooper, PHARMD

  • Pharmacist
  • Stockbridge, GA
National Provider Identifier
1316549330
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH026776 Issued in GA
Practice address
1045 Southcrest Dr Ste 200
Stockbridge, GA 30281-6113
Phone
(678) 289-0549
NPI assigned
Nov 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH026776 GA Primary

Addresses

Primary practice location

1045 Southcrest Dr Ste 200
Stockbridge, GA 30281-6113

Mailing address

4135 James Lake Dr
Conley, GA 30288-1378
Phone (404) 213-4235

Other identifiers 1

IdentifierTypeStateIssuer
000OtherN/A

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alicia.Williams@gacancer.com

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

LicenseStateTypeSpecialty
RPH026776GAMDPharmacist

Interoperability endpoints

  • Direct secure messaging: alicia.williams@gacancer.com

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1316549330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4135 JAMES LAKE DR",
            "city": "CONLEY",
            "state": "GA",
            "postal_code": "302881378",
            "telephone_number": "404-213-4235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 SOUTHCREST DR STE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816113",
            "telephone_number": "678-289-0549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ALICIA",
        "middle_name": "DENISE WILLIAMS",
        "name_prefix": "Mrs.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-13",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH026776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alicia.Williams@gacancer.com",
            "affiliation": "N",
            "address_1": "1045 Southcrest Dr Ste 200",
            "city": "Stockbridge",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302816113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.