Active NPI
Charles Edward Coger, PD
- Pharmacist
- Huntsville, AR
National Provider Identifier
1528194800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PD05240
- Practice address
- 104 North Harris St.
Huntsville, AR 72740-0070 - Phone
- (479) 738-6725
- Fax
- (479) 738-6725
- NPI assigned
- Feb 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | PD05240 | AR | Primary |
Addresses
Primary practice location
104 North Harris St.
Huntsville, AR 72740-0070
Mailing address
104 North Harris Street
Huntsville, AR 72740-0070
Phone (479) 738-6725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0403674 | Other | NABP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PD05240 | AR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528194800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 NORTH HARRIS STREET",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "727400070",
"telephone_number": "479-738-6725",
"fax_number": "479-738-6725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 NORTH HARRIS ST.",
"city": "HUNTSVILLE",
"state": "AR",
"postal_code": "727400070",
"telephone_number": "479-738-6725",
"fax_number": "479-738-6725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGER",
"first_name": "CHARLES",
"middle_name": "EDWARD",
"credential": "PD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AR",
"license": "PD05240",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NABP",
"identifier": "0403674",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.