Donald Allen Cooper

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

RPH024174 Issued in GA

Practice address

4321 Hartley Bridge Rd
Macon, GA 31216-5641

Phone

(478) 788-1015

Fax

(478) 788-2050

NPI assigned

Feb 3, 2020

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 3, 2020.

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1962033308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 HARTLEY BRIDGE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312165641",
            "telephone_number": "478-788-1015",
            "fax_number": "478-788-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 HARTLEY BRIDGE RD",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312165641",
            "telephone_number": "478-788-1015",
            "fax_number": "478-788-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "DONALD",
        "middle_name": "ALLEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "GA",
            "license": "RPH024174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Nicole Smallwood Cook
• Lindsay Cook, NP
• Meshell Denice Cook, LPN
• Rebekah Coon, FNP-C
• Brenda Gail Cooper, MD
• Jared Cooper, NP
• Joshua Benjamin Cooper, MD
• Judy Lynn Cooper, R ,MR
• Heather Charlotte Copan, OTR
• Caitlin Michele Corley, RN, CPNP

• All providers in Macon, GA
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.