Jeremy Cobb

Primary specialty

PharmacistTaxonomy code 183500000X

License

18035 Issued in LA

Practice address

903 Warren Dr Ste C
West Monroe, LA 71291-7158

Phone

(318) 396-1985

NPI assigned

Jun 18, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cobb's Pharmacy LLC

  dba Pleasant's Compounding Pharmacy

  • Community/Retail Pharmacy
  • West Monroe, LA
  • NPI 1861043580
  NPD Authorized official
• Wal-Mart Stores East LP

  dba Walmart Pharmacy 10-1110

  • Community/Retail Pharmacy
  • Farmerville, LA
  • NPI 1982621256
  NPD (past)
• Wal-Mart Stores East, LP

  dba Walmart Pharmacy 10-2229

  • Pharmacy
  • Apollo Beach, FL
  • NPI 1437027208
  NPD (past)

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1417361346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 JOHNSON RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712918649",
            "telephone_number": "318-537-0034",
            "fax_number": "318-396-1941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 WARREN DR STE C",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712917158",
            "telephone_number": "318-396-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "JEREMY",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-18",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "LA",
            "license": "18035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Clement
• Christina Carol Clements, M.A., LPC
• Clintox Laboratories, LLC
• Kim Cloe, M.S.,LPC
• Clyde E. Elliott, M. D. a Professional Corporation
• Cobb's Pharmacy LLC (Pleasant's Compounding Pharmacy)
• Leslie Robin Coffman, M.D.
• Angela Coker, MS CCC-SLP
• Shirley Coker, LPC
• Alicia Breann Cole, CIT

• Pharmacist in West Monroe, LA
• Providers in West Monroe, LA by specialty
• Pharmacist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.

Verify at the official NPI Registry.