Organization Active NPI

Coopers Drugs Inc

  • Parenteral & Enteral Nutrition Supplies (DME)
  • Panama City, FL
National Provider Identifier
1962402057
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X
License
PH1174 Issued in FL
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

Updated by the provider on Mar 29, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
101063800MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Coopers Drugs Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.