Douglas Scott Cockrell, PHARMD, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

051288811 Issued in IL

Practice address

2206 State St
Chester, IL 62233-1142

Phone

(618) 826-4898

Fax

(618) 826-3751

NPI assigned

Nov 26, 2017

Last updated

Nov 26, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Walmart Inc.

  • Community/Retail Pharmacy
  • Chester, IL
  • NPI 1922026434
  NPD (past)
• Walmart Inc.

  dba Walmart Pharmacy 10-3129

  • Community/Retail Pharmacy
  • Eastvale, CA
  • NPI 1770458945
  NPD (past)

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511654400000",
    "number": "1669986949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3774 STATE ROUTE 4",
            "city": "MARISSA",
            "state": "IL",
            "postal_code": "622572902",
            "telephone_number": "618-979-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 STATE ST",
            "city": "CHESTER",
            "state": "IL",
            "postal_code": "622331142",
            "telephone_number": "618-826-4898",
            "fax_number": "618-826-3751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "DOUGLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHARMD, RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-26",
        "last_updated": "2017-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "051288811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chester Medical Group, LLC (Chester Clinic)
• Chester Mental Health Center
• Chester Rehabilitation and Nursing Center, LLC
• Chester Smile Center
• Renee Cissell, LSW, QMHP
• Comwell
• Comwell
• Comwell
• Comwell
• Connection First Speech Therapy LLC

• Pharmacist in Chester, IL
• Providers in Chester, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2017; 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.