Alice C Koos, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS31675 Issued in FL

Practice address

255 E Van Fleet Dr
Bartow, FL 33830-3831

Phone

(863) 534-1824

Fax

(863) 534-3151

NPI assigned

Jan 18, 2013

Last updated

Jan 18, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

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.

• Publix Super Markets Inc

  dba Publix Pharmacy #1399

  • Community/Retail Pharmacy
  • Bartow, FL
  • NPI 1467735936
  NPD (past)
• Publix Super Markets Inc

  dba Publix Pharmacy #2107

  • Community/Retail Pharmacy
  • Winter Haven, FL
  • NPI 1760356380
  NPD (past)

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1831437326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 EAST VAN FLEET",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "33830",
            "telephone_number": "863-534-1824",
            "fax_number": "863-534-3151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 E VAN FLEET DR",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338303831",
            "telephone_number": "863-534-1824",
            "fax_number": "863-534-3151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOS",
        "first_name": "ALICE",
        "middle_name": "C",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS31675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade T Kish, CASE MANAGER
• Annette Kitterman
• Christopher Ronald Kizirian, RMHCI
• Cathy Kolcun
• Billy Sana Kong, MD
• Sarah Kozich
• Paula Sue Labiak, RN
• Lakeland's Children Therapy Center, LLC
• Lakeside Medical Centers, Inc.
• Lakeside of Lakeland

• Pharmacist in Bartow, FL
• Providers in Bartow, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.