Active NPI
Brian Cooper
- Pharmacist
- Londonderry, NH
National Provider Identifier
1720206329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- R1921
- Practice address
- 131 Nashua Rd
Londonderry, NH 03053-3604 - Phone
- (603) 432-5987
- NPI assigned
- Apr 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH25523 | MA | |
| Pharmacist | 183500000X | R1921 | NH | Primary |
Addresses
Primary practice location
131 Nashua Rd
Londonderry, NH 03053-3604
Mailing address
10 Glenwood Rd
Windham, NH 03087-1162
Phone (617) 543-3255
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH25523 | MA | MD | Pharmacist |
| R1921 | NH | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701129600000",
"number": "1720206329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GLENWOOD RD",
"city": "WINDHAM",
"state": "NH",
"postal_code": "030871162",
"telephone_number": "617-543-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 NASHUA RD",
"city": "LONDONDERRY",
"state": "NH",
"postal_code": "030533604",
"telephone_number": "603-432-5987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "BRIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-22",
"last_updated": "2023-11-28",
"certification_date": "2023-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MA",
"license": "PH25523",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NH",
"license": "R1921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Londonderry, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.