COOK FAMILY HEALTH CENTER PHARMACY (NPI# 1629118757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629118757 |
| Entity Type | Organization |
| Organization Name | COOK FAMILY HEALTH CENTER PHARMACY |
| Practice Address |
402 N Rogers St Bloomington IN 47404-3740 |
| Practice Telephone | 8123376162 |
| Practice Fax Number | 8123301933 |
| Mailing Telephone | 8123376162 |
| Mailing Fax Number | 8123301933 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAULA F. HURST (NURSE MANAGER) |
| Authorized Official Telephone | 8123376163 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
60004296A | IN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DEA NUMBER | 60004296A | 01 |
| Street Address |
402 N ROGERS ST |
| City | BLOOMINGTON |
| State | IN |
| Zip Code | 47404-3740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376683888 | Terri Y Brown | Family Medicine | 402 N Rogers St, Bloomington, IN 47404-3740 | 2007-02-07 |
| 1609917350 | Paula F Eiteljorge | Registered Nurse | 402 N Rogers St, Bloomington, IN 47404-3740 | 2007-02-08 |
| 1225178726 | Thomas H Hollingsworth | Family Medicine | 402 N Rogers St, Bloomington, IN 47404-3740 | 2007-02-07 |
| 1528108941 | Cook Family Health Center | Clinic/Center | 402 N Rogers St, Bloomington, IN 47404-3740 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013526631 | Sandra Clark | Counselor | 205 N College Avenue, Suite 210a, Bloomington, IN 47404 | 2020-07-29 |
| 1750926085 | Michelle Christine Dustin | Nurse Practitioner | 610 N Morton Street, Bloomigton, IN 47404 | 2019-11-11 |
| 1316440191 | Julie D'argent | Psychologist | 205 N College Ave Ste 430, Bloomington, IN 47404 | 2018-03-17 |
| 1770966467 | Richard Lawson | Counselor | 1117 North Jackson Street, Bloomington, IN 47404 | 2015-06-30 |
| 1477952109 | Teresa R. Foster | Social Worker | 205 N. College Avenue, Suite 210b, Bloomington, IN 47404 | 2014-08-19 |
| 1073879532 | First Health Plus, Inc | Clinic/Center | 104 North Curry Pike, Bloomington, IN 47404 | 2012-04-09 |
| 1497079982 | Tera Dee Nance | Counselor | 101 W. Kirkwood Avenue, Suite 009 Fountain Square Mall, Bloomington, IN 47404 | 2010-03-26 |
| 1962643114 | Pathways Counseling Center | Community/Behavioral Health | 3866 W. Third Street, Bloomington, IN 47404 | 2009-03-18 |
| 1932358595 | Catherine Elizabeth Batka | Psychologist | 101 W. Kirkwood Ave, Suite 103, Bloomington, IN 47404 | 2008-09-18 |
| 1396901005 | Kijin Woo | Dentist | 330 N Jacob Drive, Bloomington, IN 47404 | 2008-08-01 |
| Find all providers in zip 47404 | ||||
| Taxonomy Code | 3336C0002X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Clinic Pharmacy |
| A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. |
| 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 |
|---|---|---|---|---|
| 1366859936 | Park Nicollet Health Care Products | Pharmacy | 8100 Northland Dr, Bloomington, MN 55431-4800 | 2014-07-16 |
| 1366404865 | Park Nicollet Health Care Products | Pharmacy | 5320 Hyland Greens Dr, Bloomington, MN 55437-3934 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174134217 | Dana M Graham | Pharmacy | 6297 W Foster Branch Dr, Pendleton, IN 46064-9214 | 2020-08-12 |
| 1063948206 | Indiana Micro Hospital, LLC | Pharmacy | 9460 E 146th St, Noblesville, IN 46060-4966 | 2017-05-09 |
| 1306210943 | B&b Holdings LLC | Pharmacy | 1326 N Coliseum Blvd, Fort Wayne, IN 46805-5526 | 2015-11-19 |
| 1245474782 | Purdue University | Pharmacy | 625 Harrison St, West Lafayette, IN 47907-2026 | 2009-04-28 |
| 1497995815 | Northshore Health Centers, Inc. | Pharmacy | 2490 Central Ave Ste B, Lake Station, IN 46405-2122 | 2009-02-25 |
| 1427145630 | The Health and Hospital Corporation of Marion County | Pharmacy | 1050 Wishard Boulevard, Indianapolis, IN 46202 | 2006-10-07 |
| 1184736027 | Valparasio Professional Pharmacy, P.C. | Pharmacy | 2101 Roosevelt Rd, Valparaiso, IN 46383-2747 | 2006-08-31 |
| 1235737792 | Mike Obeng | Pharmacy | 5960 Castleway West Dr, Indianapolis, IN 46250-1977 | 2020-10-15 |
| 1326603325 | Healthlinc, Inc | Pharmacy | 1001 Sturdy Rd, Valparaiso, IN 46383-4126 | 2019-05-06 |
| 1174187553 | The South Bend Clinic LLP | Pharmacy | 301 E Day Rd, Mishawaka, IN 46545-3455 | 2019-05-01 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGTON |
| Zip Code | 47404 |
Please comment or provide details below to improve the information on COOK FAMILY HEALTH CENTER PHARMACY.
| 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.