McCooks Pharmacy Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

009844 Issued in GA

Legal business name

MCCOOKS PHARMACY INC

Practice address

23630 US Highway 80 E
Statesboro, GA 30461-6019

Phone

(912) 764-2223

Fax

(912) 764-2228

NPI assigned

Dec 16, 2005

Organization subpart

No

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

Authorized official

Name

Len McCook

Title

Owner

Phone

(912) 764-2223

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• McCooks Pharmacy Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in GA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivey L McCook III

  • Pharmacist
  • Statesboro, GA
  • NPI 1073695904
  NPD

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1619953205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23630 US HIGHWAY 80 E",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616019",
            "telephone_number": "912-764-2223",
            "fax_number": "912-764-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23630 US HIGHWAY 80 E",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304616019",
            "telephone_number": "912-764-2223",
            "fax_number": "912-764-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOOKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "MCCOOK",
        "authorized_official_first_name": "LEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-764-2223"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "GA",
            "license": "009844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2136360",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "McCooks Pharmacy Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trevor McBride
• Daryl Petersen McCartney, M.D.
• Ivey L McCook III
• Janie L McCook, RPH
• Josh Leonard McCook, PHARM D
• Jennifer Futch McCoy, PHARMD.
• Mark S McCracken, MD
• Catherine McCulley, ATC, LAT
• Erica Thompson McDaniel, NP-C
• Rod McDaniel

• All providers in Statesboro, GA
• Community/Retail Pharmacy in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.