Organization Active NPI

Scott Cook Pharmacy

  • Durable Medical Equipment & Medical Supplies
  • Dothan, AL
National Provider Identifier
1851495915
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
112404 Issued in AL
Legal business name
SCOTT COOK PHARMACY
Practice address
1233 Westgate Pkwy
Dothan, AL 36303
Phone
(334) 712-2000
Fax
(334) 712-2002
NPI assigned
Sep 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. W. Marvin Cook Jr., RPH
Title
Pharmacist
Phone
(334) 712-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 112404 AL Primary

Addresses

Primary practice location

1233 Westgate Pkwy
Dothan, AL 36303

Mailing address

1233 Westgate Pkwy
Dothan, AL 36303-2151
Phone (334) 712-2000

Other identifiers 1

IdentifierTypeStateIssuer
51057108OtherALBC/BS DME

National Provider Directory

National Provider Directory
Tax ID family
Scott Cook Pharmacy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1157932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851495915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1233 WESTGATE PKWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363032151",
            "telephone_number": "334-712-2000",
            "fax_number": "334-712-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 WESTGATE PKWY",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "36303",
            "telephone_number": "334-712-2000",
            "fax_number": "334-712-2002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT COOK PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "W.",
        "authorized_official_middle_name": "MARVIN",
        "authorized_official_title_or_position": "PHARMACIST",
        "authorized_official_telephone_number": "334-712-2000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "AL",
            "license": "112404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS DME",
            "identifier": "51057108",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.