Individual provider Active NPI

Tracey Caroline Cook, PHARMD, MSCR

  • Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
  • Holly Springs, NC
National Provider Identifier
1558638536
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X
License
21880 Issued in NC
Practice address
5277 Sunset Lake Rd
Holly Springs, NC 27540-3769
Phone
(919) 363-4972
Fax
(919) 363-9849
NPI assigned
Nov 19, 2011
Last updated
Apr 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X 21880 NC Primary

Addresses

Primary practice location

5277 Sunset Lake Rd
Holly Springs, NC 27540-3769

Mailing address

5277 Sunset Lake Rd
Holly Springs, NC 27540-3769
Phone (919) 363-4729

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
21880NCMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Harris Teeter LLC Past Accepting new patients
Harris Teeter, LLC 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": "1321660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1558638536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5277 SUNSET LAKE RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403769",
            "telephone_number": "919-363-4729",
            "fax_number": "919-363-9849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5277 SUNSET LAKE RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275403769",
            "telephone_number": "919-363-4972",
            "fax_number": "919-363-9849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TRACEY",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "PHARMD, MSCR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-19",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "NC",
            "license": "21880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.