Organization Active NPI

Cooks Pharmacy Inc

  • Community/Retail Pharmacy
  • Eminence, KY
National Provider Identifier
1891721205
Registry record updated Sep 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Retail PharmacyTaxonomy code 3336C0003X
License
P01419 Issued in KY
Legal business name
COOKS PHARMACY INC
Doing business as
Cooks Pharmacy Inc
Practice address
42 S Penn Ave
Eminence, KY 40019-1036
Phone
(502) 845-4216
Fax
(502) 845-7922
NPI assigned
Jun 25, 2006
Last updated
Sep 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2010

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

Authorized official

Name
George McDannold, RPH
Title
N/a
Phone
(502) 845-4216

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X
Community/Retail Pharmacy 3336C0003X P01419 KY Primary

Addresses

Primary practice location

42 S Penn Ave
Eminence, KY 40019-1036

Mailing address

42 S Penn Ave
Eminence, KY 40019-1036
Phone (502) 845-4216

Other identifiers 2

IdentifierTypeStateIssuer
1802506OtherNCPDP PROVIDER IDENTIFICATION NUMBER
54008784MedicaidKY

Other names 1

  • COOKS PHARMACY INC Doing business as

National Provider Directory

National Provider Directory

Locations

8154 Main St
Campbellsburg, KY 40011
Phone (502) 532-7388

42 S Penn Ave
Eminence, KY 40019
Phone (502) 845-4216

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285545600000",
    "number": "1891721205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 S PENN AVE",
            "city": "EMINENCE",
            "state": "KY",
            "postal_code": "400191036",
            "telephone_number": "502-845-4216",
            "fax_number": "502-845-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 S PENN AVE",
            "city": "EMINENCE",
            "state": "KY",
            "postal_code": "400191036",
            "telephone_number": "502-845-4216",
            "fax_number": "502-845-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOKS PHARMACY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2010-09-27",
        "status": "A",
        "authorized_official_last_name": "MCDANNOLD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "N/A",
        "authorized_official_telephone_number": "502-845-4216",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "KY",
            "license": "P01419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP PROVIDER IDENTIFICATION NUMBER",
            "identifier": "1802506",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54008784",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COOKS PHARMACY INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Eminence, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.