Kenneth Cook, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

03132515 Issued in OH

Practice address

9040 Mentor Ave
Mentor, OH 44060-6464

Phone

(440) 255-9159

Fax

(440) 255-2400

NPI assigned

Dec 4, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1760087811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606464",
            "telephone_number": "440-255-9159",
            "fax_number": "440-255-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606464",
            "telephone_number": "440-255-9159",
            "fax_number": "440-255-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-04",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP447177",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03132515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen E Connors, LSW
• Heather Conrad
• Margaret Conway
• Aaron Cook, DPT
• Catherine Cook
• Margaret Amanda Cook, M.A., CCC-SLP
• Kayla Cool
• Danielle D. Cooper, MD
• Rachel Lorraine Cooper, RN
• Danielle Corbin

• Pharmacist in Mentor, OH
• Providers in Mentor, OH by specialty
• Pharmacist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.