NPIMap

Organization Active NPI

Cooper Drug Inc

Doing business as Golden Plains Pharmacy Services

  • Long Term Care Pharmacy
  • Augusta, KS
National Provider Identifier
1669700845
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care PharmacyTaxonomy code 3336L0003X
License
2-10266 Issued in KS
Legal business name
COOPER DRUG INC
Doing business as
Golden Plains Pharmacy Services
Practice address
511 State St
Augusta, KS 67010
Phone
(316) 775-2289
Fax
(316) 775-2280
NPI assigned
Nov 25, 2009
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Brett KappelmannNPI 1982202354
Title
Owner
Phone
(316) 775-2289

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Pharmacy 3336L0003X 2-10266 KS Primary

Addresses

Primary practice location

511 State St
Augusta, KS 67010

Mailing address

511 State St
Augusta, KS 67010-1107
Phone (316) 775-2289

Other identifiers 1

IdentifierTypeStateIssuer
1719915OtherNCPDP PROVIDER IDENTIFICATION NUMBER

Other names 1

  • Golden Plains Pharmacy Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cooper Drug Inc2 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.

Locations

511 N State St
Augusta, KS 67010
Phone (316) 775-2289

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1669700845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "670101107",
            "telephone_number": "316-775-2289",
            "fax_number": "316-775-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 STATE ST",
            "city": "AUGUSTA",
            "state": "KS",
            "postal_code": "67010",
            "telephone_number": "316-775-2289",
            "fax_number": "316-775-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "KAPPELMANN",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-775-2289"
    },
    "taxonomies": [
        {
            "code": "3336L0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Long Term Care Pharmacy",
            "state": "KS",
            "license": "2-10266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1719915",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Plains Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Golden Plains Pharmacy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Augusta, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.