Individual provider Active NPI

Lawrence J Cohen, PHARMD, BCPP

  • Psychiatric Pharmacist
  • Edmond, OK
National Provider Identifier
1568460202
Registry record updated Sep 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric PharmacistTaxonomy code 1835P1300X
License
11147 Issued in OK
Practice address
2400 Jessica LN
Edmond, OK 73034-3456
Phone
(509) 995-9165
NPI assigned
Jul 7, 2005
Last updated
Sep 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2022

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Pharmacist 1835P1300X 11313 MD
Psychiatric Pharmacist 1835P1300X 31916 CA
Psychiatric Pharmacist 1835P1300X 7229 NV
Psychiatric Pharmacist 1835P1300X 67967 WA
Psychiatric Pharmacist 1835P1300X 55704 TX
Psychiatric Pharmacist 1835P1300X 11147 OK Primary

Addresses

Primary practice location

2400 Jessica LN
Edmond, OK 73034-3456

Mailing address

2400 Jessica LN
Edmond, OK 73034-3456
Phone (509) 995-9165

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
31916CAMDChiropractor
7229NVMDPsychiatric Pharmacist
11147OKMDPsychiatric Pharmacist
55704TXMDPsychiatric Pharmacist
67967WAMDPsychiatric Pharmacist
11313MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1568460202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 JESSICA LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343456",
            "telephone_number": "509-995-9165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 JESSICA LN",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730343456",
            "telephone_number": "509-995-9165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "LAWRENCE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "PHARMD, BCPP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "MD",
            "license": "11313",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "CA",
            "license": "31916",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "NV",
            "license": "7229",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "WA",
            "license": "67967",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "TX",
            "license": "55704",
            "primary": false
        },
        {
            "code": "1835P1300X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Psychiatric",
            "state": "OK",
            "license": "11147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.