Active NPI
Ruth S Cooper, RPH
- Pharmacist
- Fort Worth, TX
National Provider Identifier
1710216478
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 31970
- Practice address
- 1325 Pennsylvania Ave # 60
Fort Worth, TX 76104 - Phone
- (817) 882-8670
- Fax
- (817) 882-8792
- NPI assigned
- Dec 9, 2009
- 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 | 31970 | TX | Primary |
Addresses
Primary practice location
1325 Pennsylvania Ave # 60
Fort Worth, TX 76104
Mailing address
4271 Cadiz Dr
Fort Worth, TX 76133-5411
Phone (817) 897-6033
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 |
|---|---|---|---|
| 31970 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co. | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1710216478",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4271 CADIZ DR",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761335411",
"telephone_number": "817-897-6033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 PENNSYLVANIA AVE # 60",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "76104",
"telephone_number": "817-882-8670",
"fax_number": "817-882-8792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "RUTH",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "RPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-09",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "31970",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.