Active NPI
Ethylene A Cook, RPH
- Pharmacist
- Hawkinsville, GA
National Provider Identifier
1497035026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH025024
- Practice address
- 126 Broad St
Hawkinsville, GA 31036-4815 - Phone
- (478) 783-4700
- Fax
- (478) 783-4706
- NPI assigned
- Aug 26, 2011
- Last updated
- Aug 26, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | RPH025024 | GA | Primary |
Addresses
Primary practice location
126 Broad St
Hawkinsville, GA 31036-4815
Mailing address
126 Broad St
Hawkinsville, GA 31036-4815
Phone (478) 783-4700
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH025024 | GA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1497035026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 BROAD ST",
"city": "HAWKINSVILLE",
"state": "GA",
"postal_code": "310364815",
"telephone_number": "478-783-4700",
"fax_number": "478-783-4706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "126 BROAD ST",
"city": "HAWKINSVILLE",
"state": "GA",
"postal_code": "310364815",
"telephone_number": "478-783-4700",
"fax_number": "478-783-4706"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "ETHYLENE",
"middle_name": "A",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-26",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH025024",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawkinsville, GA
- Stephanie Laytrail Collins-Rawls, LPC
- Colors for Autism
- Comfortwheels Transport (Leggett Builders LLC)
- Community Ancillary Services, Inc (dba ECP Distributors)
- Community Ancillary Services, Inc. (Eldercare Pharmacy)
- Covington Manor Nursing Home LLC
- Ben D Cravey Jr., RPH
- Kelly C Cravey, PHARMD
- Crisp RGNL Hosp Inc
- Holly Michele Cross, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.