Alecia Cook
Individual provider Active NPI Pharmacist · Groves, TX
NPI 1831562990 · NPPES record last updated Nov 10, 2015
Key facts
- NPI
- 1831562990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 55107 (TX)
- Practice address
- 4746 Twin City Hwy
Groves, TX 77619-3038 - Phone
- (409) 960-6394
- NPI assigned
- Nov 10, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 55107 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 55107 | TX | Yes |
Addresses
Primary practice location
4746 Twin City Hwy
Groves, TX 77619-3038
Mailing address
4746 Twin City Hwy
Groves, TX 77619-3038
Other providers in Groves, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 10, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.