COOPER DRUG INC. (NPI# 1104919943) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104919943 |
| Entity Type | Organization |
| Organization Name | COOPER DRUG INC. |
| Practice Address |
509 State St Augusta KS 67010-1107 |
| Practice Telephone | 3167752289 |
| Practice Fax Number | 3167752280 |
| Mailing Telephone | 3167752289 |
| Mailing Fax Number | 3167752280 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | BRETT KAPPELMANN (OWNER) |
| Authorized Official Telephone | 3167752289 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 202834 | KS | Suppliers |
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
PS005254 | KS | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | MEDICAID DME | 1004344000B | 01 |
| Street Address |
509 STATE ST |
| City | AUGUSTA |
| State | KS |
| Zip Code | 67010-1107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982202354 | Brett M Kappelmann | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2020-10-16 |
| 1598363988 | Heather Allison O'gorman | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2020-10-16 |
| 1568060911 | Erica J Severson | Pharmacy Technician | 509 State St, Augusta, KS 67010-1107 | 2020-10-16 |
| 1750819041 | Makenna Lynn Greenfield | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2017-05-31 |
| 1396284527 | Rachel Henman | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2017-02-21 |
| 1063957058 | Jeremy Todd Mcdonald | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2016-12-29 |
| 1780040535 | Nellie Gillies | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2016-01-10 |
| 1780086744 | Mallory Paradis | Pharmacist | 509 State St, Augusta, KS 67010-1107 | 2014-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407372444 | Kali Lauren Taylor | Pharmacist | 509 State Street, Augusta, KS 67010 | 2017-08-22 |
| 1952703068 | Connie Patten | Case Manager/Care Coordinator | 2821 Brookside Dr., Augusta, KS 67010 | 2014-09-19 |
| 1427461011 | Abby Bryan | Contractor | 6 Flanigan, Augusta, KS 67010 | 2014-06-11 |
| 1811252919 | Vicky T Kramer | Nurse Practitioner | 15707 Sw Us Hwy 77, Augusta, KS 67010 | 2012-07-05 |
| 1982816732 | Grene Vision Group LLC | Ophthalmology | 706 E Smiles, Augusta, KS 67010 | 2007-05-04 |
| 1205935384 | Patrick J Carman | Chiropractor | 517 State St, Augusta, KS 67010 | 2006-09-22 |
| 1114968047 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1510 Ohio St, Augusta, KS 67010 | 2006-06-10 |
| 1154806552 | Hilary Alexandra Clark | Psychologist | 2821 Brookside Dr., Augusta, KS 67010 | 2018-10-01 |
| 1366845885 | Karly Klarisse Ross | Case Manager/Care Coordinator | 2821 Brookside Ct, Augusta, KS 67010 | 2014-09-29 |
| 1013319649 | Carla Morrow | Counselor | 2821 Brookside Ct, Augusta, KS 67010 | 2014-09-26 |
| Find all providers in zip 67010 | ||||
| Taxonomy Code | 3336C0003X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Community/Retail Pharmacy |
| A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716915 | Au Medical Center, Inc. | Pharmacy | 818 Saint Sebastian Way Ste 402, Augusta, GA 30901-2654 | 2020-10-05 |
| 1699308114 | Au Medical Center, Inc. | Pharmacy | 1014 Moore Avenue, Augusta, GA 30912-0001 | 2020-02-13 |
| 1891161246 | Gabiga-jordan LLC | Pharmacy | 4046 Jimmie Dyess Pkwy Ste 100, Augusta, GA 30909-9468 | 2015-08-19 |
| 1962803775 | Bryant and Newsome LLC | Pharmacy | 215 Furys Ferry Rd, Augusta, GA 30907-4718 | 2014-09-11 |
| 1073895496 | Costco Wholesale Corporation | Pharmacy | 825 Cabela Dr, Augusta, GA 30909-8202 | 2011-09-12 |
| 1467732701 | Medex Associates LLC | Pharmacy | 811 13th St Ste 10, Augusta, GA 30901-2771 | 2011-08-18 |
| 1598068967 | Clinical Specialties, LLC | Pharmacy | 318 Baston Rd, Suite 103, Augusta, GA 30907-2978 | 2010-12-07 |
| 1972789311 | Cvs State Capital LLC | Pharmacy | 119 Crossing Way, Augusta, ME 04330-6102 | 2008-01-16 |
| 1184727547 | Georgia Cvs Pharmacy LLC | Pharmacy | 2902 Peach Orchard Rd, Augusta, GA 30906-3504 | 2006-09-07 |
| 1255434072 | Georgia Cvs Pharmacy LLC | Pharmacy | 2559 Windsor Spring Rd, Augusta, GA 30906-4642 | 2006-09-07 |
| Find all providers in AUGUSTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.