Individual provider Active NPI

Bryan Paul Cook, RPH, MBA

  • Pharmacist
  • Mesa, AZ
National Provider Identifier
1407183445
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
SO13947 Issued in AZ
Practice address
1444 S Sossaman Rd
Mesa, AZ 85209-3400
Phone
(480) 333-6559
Fax
(480) 333-6556
NPI assigned
Nov 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X SO13947 AZ Primary

Addresses

Primary practice location

1444 S Sossaman Rd
Mesa, AZ 85209-3400

Mailing address

1444 S Sossaman Rd
Mesa, AZ 85209-3400
Phone (480) 333-6559

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
Master of Business Administration, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
SO13947AZMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1407183445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1444 S SOSSAMAN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093400",
            "telephone_number": "480-333-6559",
            "fax_number": "480-333-6556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 S SOSSAMAN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852093400",
            "telephone_number": "480-333-6559",
            "fax_number": "480-333-6556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "BRYAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "RPH, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "SO13947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.