Active NPI
Cossie Claude Quillen, RPH
- Pharmacist
- Hindman, KY
National Provider Identifier
1902196363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 7039
- Practice address
- 100 Holly Hills Mall Rd
Hindman, KY 41822-9122 - Phone
- (606) 785-4960
- NPI assigned
- Apr 19, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 7039 | KY | Primary |
Addresses
Primary practice location
100 Holly Hills Mall Rd
Hindman, KY 41822-9122
Mailing address
100 Holly Hills Shopping Center
Hindman, KY 41822
Phone (606) 785-4960
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
| License | State | Type | Specialty |
|---|---|---|---|
| 7039 | KY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303171200000",
"number": "1902196363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOLLY HILLS SHOPPING CENTER",
"city": "HINDMAN",
"state": "KY",
"postal_code": "41822",
"telephone_number": "606-785-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOLLY HILLS MALL RD",
"city": "HINDMAN",
"state": "KY",
"postal_code": "418229122",
"telephone_number": "606-785-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUILLEN",
"first_name": "COSSIE",
"middle_name": "CLAUDE",
"name_prefix": "Mr.",
"credential": "RPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-19",
"last_updated": "2011-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "KY",
"license": "7039",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hindman, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.