Individual provider Active NPI

Karen Coogan Koerts, PHARMD

  • Pharmacist
  • Buford, GA
National Provider Identifier
1861788002
Registry record updated Jun 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH020488 Issued in GA
Practice address
3205 Woodward Crossing Blvd
T-1206
Buford, GA 30519-4938
Phone
(678) 482-6528
Fax
(678) 482-6528
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RPH020488 GA Primary

Addresses

Primary practice location

3205 Woodward Crossing Blvd
T-1206
Buford, GA 30519-4938

Mailing address

3205 Woodward Crossing Blvd
T-1206
Buford, GA 30519-4938
Phone (678) 482-6528

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
RPH020488GAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309132800000",
    "number": "1861788002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 WOODWARD CROSSING BLVD",
            "address_2": "T-1206",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194938",
            "telephone_number": "678-482-6528",
            "fax_number": "678-482-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 WOODWARD CROSSING BLVD",
            "address_2": "T-1206",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194938",
            "telephone_number": "678-482-6528",
            "fax_number": "678-482-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERTS",
        "first_name": "KAREN",
        "middle_name": "COOGAN",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH020488",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.