Kevin Ryan Cook, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03442251 Issued in OH

Practice address

1075 Ashland Rd
Mansfield, OH 44905-2156

Phone

(419) 589-4483

NPI assigned

Jul 22, 2022

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

Credentials

Doctor of Pharmacy

State licenses

Practice roles

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.

• Lane Drug Co

  • Community/Retail Pharmacy
  • Findlay, OH
  • NPI 1184630493
  NPD (past)
• Lane Drug Co

  • Community/Retail Pharmacy
  • Mansfield, OH
  • NPI 1639288970
  NPD (past)

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1508591520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 ASHLAND RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052156",
            "telephone_number": "419-589-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 ASHLAND RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449052156",
            "telephone_number": "419-589-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KEVIN",
        "middle_name": "RYAN",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03442251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elise Conrad, MS, CCC-SLP
• Elizabeth Constance, BA
• Constellation Schools: Mansfield Community Elementary
• Constellation Schools: Mansfield Community Middle
• Anna M Cook, PA-C
• Chelsea Cooke
• Sequoya Cooke
• Alison Marie Coole, RD,LD
• Crystal Lee Cooper, LPN
• Jennifer Diane Cooper

• Pharmacist in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.