Active NPI
Jeanne Marie Cook, RPH
- Pharmacist
- Wurtsboro, NY
National Provider Identifier
1649592056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 042134
- Practice address
- 2930 Route 209
Wurtsboro, NY 12790 - Phone
- (845) 888-2614
- NPI assigned
- Feb 26, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 042134 | NY | Primary |
Addresses
Primary practice location
2930 Route 209
Wurtsboro, NY 12790
Mailing address
PO Box 897
Wurtsboro, NY 12790-0897
Phone (845) 888-2614
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042134 | Other | NY | NYS LICENSE # |
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
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 042134 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| P & S Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1649592056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 897",
"city": "WURTSBORO",
"state": "NY",
"postal_code": "127900897",
"telephone_number": "845-888-2614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 ROUTE 209",
"city": "WURTSBORO",
"state": "NY",
"postal_code": "12790",
"telephone_number": "845-888-2614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "JEANNE",
"middle_name": "MARIE",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-02-26",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "042134",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSE #",
"identifier": "042134",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wurtsboro, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.