Cooper Drug Co Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

PH24624 Issued in FL

Legal business name

COOPER DRUG CO INC

Doing business as

Coopers Drugs Inc

Practice address

700 E Business Hwy 98
Panama City, FL 32401-3614

Phone

(850) 785-0251

Fax

(850) 769-9601

NPI assigned

Feb 16, 2007

Last updated

Mar 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Thomas Sharpe

Title

Vice President

Phone

(229) 435-4571

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Coopers Drugs Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1568506582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72188",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317082188",
            "telephone_number": "229-435-4571",
            "fax_number": "229-435-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E BUSINESS HWY 98",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013614",
            "telephone_number": "850-785-0251",
            "fax_number": "850-769-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER DRUG CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "SHARPE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "229-435-4571"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "FL",
            "license": "PH24624",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2006715",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "113234900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coopers Drugs Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Coopers Drugs Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trevor Eugene Cook, ARNP
• Rachel Coombs, PHARM D
• Erin French Coon
• Gale F Cooney, DC
• Cooper Drug Co Inc (coopers drugs)
• Cooper Drug Co Inc (Coopers Drugs Inc LTC)
• Chasity Imani Cooper
• Cooper's Drug Company Inc (Vital Care of Panama City)
• Coopers Drugs Inc
• Robert M Copp, DC CACU

• Community/Retail Pharmacy in Panama City, FL
• Providers in Panama City, FL by specialty
• Community/Retail Pharmacy in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.