Active NPI
Cody M Cooper, CPHT
- Pharmacy Technician
- Lubbock, TX
National Provider Identifier
1326648825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 217641
- Practice address
- 12815 Indiana Ave
Lubbock, TX 79423-5677 - Phone
- (806) 776-8915
- NPI assigned
- Oct 26, 2020
- Last updated
- Oct 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 217641 | TX | Primary |
| Pharmacy Technician | 183700000X | PT00011253 | NM |
Addresses
Primary practice location
12815 Indiana Ave
Lubbock, TX 79423-5677
Mailing address
7117 19TH St Apt 1603
Lubbock, TX 79407-1376
Phone (806) 778-7935
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT00011253 | NM | MD | Pharmacy Technician |
| 217641 | TX | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1326648825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7117 19TH ST APT 1603",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794071376",
"telephone_number": "806-778-7935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12815 INDIANA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794235677",
"telephone_number": "806-776-8915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CODY",
"middle_name": "M",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "217641",
"primary": true
},
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "NM",
"license": "PT00011253",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.