Individual provider Active NPI

Deanna Cook, RPH

  • Pharmacist
  • Show Low, AZ
National Provider Identifier
1881975316
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
S010854 Issued in AZ
Practice address
661 S Rock Ridge Dr
Show Low, AZ 85901-7596
Phone
(801) 678-6382
NPI assigned
Aug 29, 2011
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 263349-1701 UT
Pharmacist 183500000X S010854 AZ Primary

Addresses

Primary practice location

661 S Rock Ridge Dr
Show Low, AZ 85901-7596

Mailing address

927 N 780 W
Clinton, UT 84015-9540
Phone (801) 721-2317

Other practice location 1

927 N 780 W
Clinton, UT 84015-9540
Phone (801) 721-2317

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
S010854AZMDPharmacist
263349-1701UTMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1881975316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 N 780 W",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840159540",
            "telephone_number": "801-721-2317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 S ROCK RIDGE DR",
            "city": "SHOW LOW",
            "state": "AZ",
            "postal_code": "859017596",
            "telephone_number": "801-678-6382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 N 780 W",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "UT",
            "postal_code": "840159540",
            "country_code": "US",
            "telephone_number": "801-721-2317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "DEANNA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-29",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "UT",
            "license": "263349-1701",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AZ",
            "license": "S010854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Show Low, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.