DR. KENNETH EDWARD COOPER JR. (NPI# 1730512195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730512195 |
| Entity Type | Individual |
| Full Name | DR. KENNETH EDWARD COOPER JR. |
| Other Name | DR. KENNETH EDWARD COOPER JR. |
| Credential | PHARM.D. |
| Practice Address |
4371 E Lohman Ave Las Cruces NM 88011-8255 |
| Practice Telephone | 5755328900 |
| Mailing Telephone | 5755328900 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2019-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RP000006912 | NM | Pharmacy Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | MEDICARE ID NUMBER | 4355051811 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477985109 | Kenneth C Cooper | Mechanotherapist | 9701 Pacific Ave, Unit 2, Tacoma, WA 98444-6595 | 2013-08-05 |
| 1639206170 | Kenneth J Cooper | Social Worker | 298 Van Buren St, Brooklyn, NY 11221-1914 | 2007-02-28 |
| 1376577890 | Kenneth H Cooper | Preventive Medicine | 12200 Preston Rd, Dallas, TX 75230-2223 | 2006-07-10 |
| 1356348676 | Kenneth Lee Cooper Jr. | Podiatrist | 832 Eastern Ave, Woodsfield, OH 43793-1093 | 2005-07-01 |
| 1902802309 | Kenneth W Cooper | Chiropractor | 4071 W Dickman Rd, Springfield, MI 49037-7551 | 2005-06-22 |
| 1184029746 | Kenneth Cooper | Pharmacist | 1260 E Main St, Rock Hill, SC 29730-5948 | 2014-10-24 |
| 1275777898 | Kenneth J. Cooper | Community Health Worker | 954 60th St, Suite 10, Oakland, CA 94608-2369 | 2009-04-27 |
| 1700040623 | Kenneth Robert Cooper | Social Worker | 211 Church St, Saratoga Springs, NY 12866-1003 | 2008-07-10 |
| 1518166289 | Kenneth Cooper | Surgery | 739 Irving Ave, Suite 450, Syracuse, NY 13210-1651 | 2007-07-13 |
| 1912114174 | Kenneth David Cooper | Chiropractor | 680 Langsdorf Dr, # 101, Fullerton, CA 92831-3702 | 2007-05-17 |
| Street Address |
4371 E LOHMAN AVE |
| City | LAS CRUCES |
| State | NM |
| Zip Code | 88011-8255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225160 | Virginia G. Corpus | Internal Medicine | 4371 E Lohman Ave, Las Cruces, NM 88011 | 2005-06-16 |
| 1659997500 | Riogrande Care Pharmacy LLC | Pharmacy | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2020-06-16 |
| 1407409907 | American Specialty Pharmacy Inc | Pharmacy | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2019-07-23 |
| 1952832024 | Geneva Salinas | Nurse Practitioner | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2017-03-21 |
| 1467907782 | Kalyani Orthopaedics LLC | Orthopaedic Surgery | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2016-08-16 |
| 1114385069 | Katelyn Przybyszewski | Physician Assistant | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2016-02-08 |
| 1881066603 | Kristin Thornsberry | Nurse Practitioner | 4371 E Lohman Ave, Las Cruces, NM 88011-8443 | 2015-10-21 |
| 1659789311 | Raul Enrique Najera | Pharmacist | 4371 E Lohman Ave, Las Cruces, NM 88011-8443 | 2014-07-25 |
| 1063857514 | American Specialty Pharmacy Inc | Pharmacy | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2013-05-09 |
| 1255645008 | Bharati Sukadeo Kalyani | Orthopaedic Surgery | 4371 E Lohman Ave, Las Cruces, NM 88011-8255 | 2010-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356954648 | Asc of The Heart Institute | Internal Medicine | 1250 N Sonoma Ranch Blvd, Las Cruces, NM 88011 | 2020-08-26 |
| 1104449206 | Kruti Gitesh Shah | Student in an Organized Health Care Education/Training Program | Mountain View Regional Medical Cente, Graduate Medical Education, 4351 E Lohman Ave Suite 300, Las Cruces, NM 88011 | 2020-05-22 |
| 1831719368 | Borna Mansouri | Student in an Organized Health Care Education/Training Program | 4351 E. Lahman Ave, Suite 300, Moutnainview Regional Medical Center Graduta, Las Cruces, NM 88011 | 2020-04-24 |
| 1306474408 | Madonna Petula Phillip | Student in an Organized Health Care Education/Training Program | 4351 E Lohmon Avenue Suite 300, Las Cruces, NM 88011 | 2020-04-01 |
| 1285267849 | Back In Action Therapy of Las Cruces | Occupational Therapist | 4440 Sonoma Ranch Blvd, Suite F, Las Cruces, NM 88011 | 2020-02-21 |
| 1649818725 | Kimberly Ann Smetzer | Registered Nurse | 4401 East Lohman, Building 5, Las Cruces, NM 88011 | 2019-12-19 |
| 1548806375 | Melinda Michelle Fowler | Social Worker | 2605 Terrace Drive, Las Cruces, NM 88011 | 2019-11-27 |
| 1871134692 | Rio Grande Hematology and Oncology, LLC | Internal Medicine | 4391 East Lohman Ave., Las Cruces, NM 88011 | 2019-10-02 |
| 1972083640 | Lorianna R. Narvaez | Counselor | 1155 S. Telshor Suite 302-a, Las Cruces, NM 88011 | 2018-08-21 |
| 1215416524 | Aday Orthodontics, PC | Dentist | 2701 Missouri Ave., Suite D, Las Cruces, NM 88011 | 2018-08-08 |
| Find all providers in zip 88011 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528524675 | Jennifer L Mcconnell | Pharmacist | 1421 Luna St, Las Cruces, NM 88001-4358 | 2019-02-13 |
| 1023482585 | Min Bae | Pharmacist | 1900 Bataan Memorial E # Lc, Las Cruces, NM 88011-6011 | 2015-11-20 |
| 1013309863 | Las Cruces Apothecary | Pharmacist | 525 E Madrid Ave Ste 8, Las Cruces, NM 88001-1671 | 2015-03-02 |
| 1811394406 | Aaron Buffington | Pharmacist | 3901 Sonoma Springs Ave, Las Cruces, NM 88011-7105 | 2014-11-25 |
| 1285041731 | Ivan Nwaogu | Pharmacist | 2528 Fallbrook Way, Las Cruces, NM 88011-4296 | 2014-07-16 |
| 1407263031 | Christopher Paul Krey | Pharmacist | 4219 Harp Ct, Las Cruces, NM 88011-0919 | 2014-07-15 |
| 1538575071 | Yazid Atieh | Pharmacist | 3865 E Lohman Ave Ste 2, Las Cruces, NM 88011-8292 | 2014-07-04 |
| 1528474178 | Michael Perry | Pharmacist | 3650 Morning Star Dr Unit 4004, Las Cruces, NM 88011-1787 | 2014-07-03 |
| 1598182644 | Tahisha Cano | Pharmacist | 2815 Fairway Dr, Las Cruces, NM 88011-5031 | 2014-03-26 |
| 1235570730 | Tam Quang Bui | Pharmacist | 2300 East Lohman Ave., Walgreens Pharmacy:, Las Cruces, NM 88001 | 2013-07-12 |
| Find all providers in LAS CRUCES | ||||
| City | LAS CRUCES |
| Zip Code | 88011 |
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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.