Individual provider Active NPI

Christopher Ryan Coker

  • Pharmacist
  • Rome, GA
National Provider Identifier
1487049383
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH029476 Issued in GA
Practice address
5855 New Calhoun Hwy NE
Rome, GA 30161-8253
Phone
(706) 295-4772
NPI assigned
Mar 30, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X S10857 AL
Pharmacist 183500000X PHI-016542 GA
Pharmacist 183500000X RPH029476 GA Primary

Addresses

Primary practice location

5855 New Calhoun Hwy NE
Rome, GA 30161-8253

Mailing address

5855 New Calhoun Hwy NE
Rome, GA 30161-8253

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

LicenseStateTypeSpecialty
S10857ALMDPharmacist
PHI-016542GAMDPharmacist
RPH029476GAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Pharmacy CurrentSince Dec 18, 2022 Accepting new patients

Locations

5855 New Calhoun Hwy NE
Rome, GA 30161
Phone (706) 295-4772

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1487049383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 NEW CALHOUN HWY NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301618253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 NEW CALHOUN HWY NE",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301618253",
            "telephone_number": "706-295-4772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "CHRISTOPHER",
        "middle_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-30",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "S10857",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "PHI-016542",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH029476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.