Active NPI
Jill Cooper, PHARMACIST
- Pharmacist
- Fort Benning, GA
National Provider Identifier
1992454979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RPH018055
- Practice address
- 9220 Marne Rd
Fort Benning, GA 31905-5515 - Phone
- (706) 544-1049
- NPI assigned
- Mar 18, 2022
- Sex
- Female
- 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 | RPH018055 | GA | Primary |
Addresses
Primary practice location
9220 Marne Rd
Fort Benning, GA 31905-5515
Mailing address
300 Lee Road 147
Opelika, AL 36804-3809
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPH018055 | GA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647561600000",
"number": "1992454979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 LEE ROAD 147",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368043809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9220 MARNE RD",
"city": "FORT BENNING",
"state": "GA",
"postal_code": "319055515",
"telephone_number": "706-544-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "JILL",
"credential": "PHARMACIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-03-18",
"last_updated": "2022-03-18",
"certification_date": "2022-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "GA",
"license": "RPH018055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Benning, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.