Individual provider Active NPI

Santreis L Cook, PHARMD

  • Pharmacist
  • Southfield, MI
National Provider Identifier
1669993937
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
19420 Issued in AL
Practice address
25111 Grodan Dr
Southfield, MI 48033
Phone
(256) 404-4598
NPI assigned
Jun 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 19420 AL Primary

Addresses

Primary practice location

25111 Grodan Dr
Southfield, MI 48033

Mailing address

25111 Grodan Dr
Southfield, MI 48033-2529
Phone (256) 404-4598

Other practice location 1

214 Haynes St
Talladega, AL 35160-2560
Phone (256) 761-1819

Other practice location 2

214 Haynes St
Talladega, AL 35160-2560
Phone (256) 761-1819

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
19420ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1498521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1669993937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25111 GRODAN DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480332529",
            "telephone_number": "256-404-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25111 GRODAN DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "48033",
            "telephone_number": "256-404-4598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "214 Haynes St",
            "address_purpose": "LOCATION",
            "city": "Talladega",
            "state": "AL",
            "postal_code": "351602560",
            "country_code": "US",
            "telephone_number": "256-761-1819",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "214 Haynes St",
            "address_purpose": "LOCATION",
            "city": "Talladega",
            "state": "AL",
            "postal_code": "351602560",
            "country_code": "US",
            "telephone_number": "256-761-1819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "SANTREIS",
        "middle_name": "L",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-27",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "19420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.