Jacqueline Gale Cook

Primary specialty

PharmacistTaxonomy code 183500000X

License

31632 Issued in NC

Practice address

105 Ervin CT
Jacksonville, NC 28546-9148

Phone

(704) 534-1214

NPI assigned

Aug 25, 2022

Last updated

Aug 25, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1376262089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 ERVIN CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469148",
            "telephone_number": "704-534-1214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 ERVIN CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285469148",
            "telephone_number": "704-534-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JACQUELINE",
        "middle_name": "GALE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NC",
            "license": "31632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jgm001j.s07009@us.wal-mart.com",
            "affiliation": "Y",
            "affiliationName": "Wal-Mart Stores East LP",
            "address_1": "349 Kinston Hwy",
            "city": "Richlands",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285746420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Continuum II Home Care & Hospice, Inc.
• Continuum II Home Care & Hospice, Inc.
• Continuum II Home Care and Hospice, Inc. (Continuum Home Care and Hospice)
• Alina Smith Cook
• Candace Faith Cook
• Stephanie Cooke, BCBA, LBA NC
• Shawandalyn Latrelle Cooley, LCSW
• Andrea Cooper, MS, LCMHC
• Paul Cooper
• Coordinated Health Services, Inc.

• Pharmacist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Pharmacist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.