Individual provider Active NPI

William Marvin Cook, Sr, RPH

  • Pharmacist
  • Ashford, AL
National Provider Identifier
1821171398
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7973 Issued in AL
Practice address
430 Broadway St
Ashford, AL 36312
Phone
(334) 899-3100
Fax
(334) 899-3186
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7973 AL Primary

Addresses

Primary practice location

430 Broadway St
Ashford, AL 36312

Mailing address

143 Fowler Rd
Ashford, AL 36312-6232
Phone (334) 899-3100

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

LicenseStateTypeSpecialty
7973ALMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821171398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 FOWLER RD",
            "city": "ASHFORD",
            "state": "AL",
            "postal_code": "363126232",
            "telephone_number": "334-899-3100",
            "fax_number": "334-899-3186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BROADWAY ST",
            "city": "ASHFORD",
            "state": "AL",
            "postal_code": "36312",
            "telephone_number": "334-899-3100",
            "fax_number": "334-899-3186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK, SR",
        "first_name": "WILLIAM",
        "middle_name": "MARVIN",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "7973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashford, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.