Active NPI
Coopers Drugs Inc
- Parenteral & Enteral Nutrition Supplies (DME)
- Panama City, FL
National Provider Identifier
1962402057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME)
- License
- PH1174
- Legal business name
- COOPERS DRUGS INC
- Practice address
- 700 E Bus Hwy 98
Panama City, FL 32401-3514 - Phone
- (850) 763-2172
- Fax
- (850) 769-9601
- NPI assigned
- Jul 29, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Thomas Sharpe
- Title
- Vice President
- Phone
- (292) 435-4571
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PH1174 | FL | Primary |
Addresses
Primary practice location
700 E Bus Hwy 98
Panama City, FL 32401-3514
Mailing address
700 E Bus Highway 98
Panama City, FL 32401-3514
Phone (850) 763-2172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101063800 | Medicaid | FL |
National Provider Directory
National Provider Directory- Tax ID family
- Coopers Drugs Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Panama City, FL
- NPI 1326799271
-
- Long Term Care Pharmacy
- Panama City, FL
- NPI 1629836911
Locations
700 E Highway 98
Panama City, FL 32401
Phone (850) 785-0251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711670400000",
"number": "1962402057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 E BUS HIGHWAY 98",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013514",
"telephone_number": "850-763-2172",
"fax_number": "850-769-9601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E BUS HWY 98",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324013514",
"telephone_number": "850-763-2172",
"fax_number": "850-769-9601"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COOPERS DRUGS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-29",
"last_updated": "2024-03-29",
"certification_date": "2024-03-29",
"status": "A",
"authorized_official_last_name": "SHARPE",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "292-435-4571",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332BP3500X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
"state": "FL",
"license": "PH1174",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101063800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.