Cook Family Health Center Pharmacy

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

60004296A Issued in IN

Legal business name

COOK FAMILY HEALTH CENTER PHARMACY

Practice address

402 N Rogers St
Bloomington, IN 47404-3740

Phone

(812) 337-6162

Fax

(812) 330-1933

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Paula F. Hurst, R.N.

Title

Nurse Manager

Phone

(812) 337-6163

Specialties & licenses 1

Addresses

Tax ID family

Cook Family Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cook Family Health Center

  • Primary Care Clinic/Center
  • Bloomington, IN
  • NPI 1528108941
  NPD tax ID

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1629118757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 N ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043740",
            "telephone_number": "812-337-6162",
            "fax_number": "812-330-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 N ROGERS ST",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474043740",
            "telephone_number": "812-337-6162",
            "fax_number": "812-330-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK FAMILY HEALTH CENTER PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "HURST",
        "authorized_official_first_name": "PAULA",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "NURSE MANAGER",
        "authorized_official_telephone_number": "812-337-6163",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "IN",
            "license": "60004296A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah June Conrad
• Maria Consiglieri
• Convacare Services Inc.
• Ryan Conway
• Cook Family Health Center
• Brian William Cook, MD
• Darla Kathleen Cook, LCSW
• Eurmiluo Cook
• Gregory Guido Cook, OD
• Lauren Cooley

• Clinic Pharmacy in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinic Pharmacy in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.