CHARLES COOPER (NPI# 1063898419) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063898419 |
| Entity Type | Individual |
| Full Name | CHARLES COOPER |
| Credential | PHARMD |
| Practice Address |
575 Lisbon St Lisbon Falls ME 04252-1114 |
| Practice Telephone | 2073534843 |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2015-08-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | PR27902 | ME | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902109689 | Charles H Cooper | Dentist | 38 Cottonwood Ln, Hilton Head Island, SC 29926-1960 | 2010-12-17 |
| 1962631218 | Charles Key Cooper | Internal Medicine | 2401 W. Baltimore St, Baltimore, MD 21223 | 2009-07-08 |
| 1730303082 | Charles Alan Cooper | Ophthalmology | 8 Landers St, Unit 301, San Francisco, CA 94114-4300 | 2007-04-11 |
| 1588743843 | Charles Acker Cooper | Dentist | 711 East Tenth Street, Suite A, Anniston, AL 36207-4779 | 2006-11-06 |
| 1255422507 | Charles Howard Cooper | Dentist | 5936 Hubbard Drive, Rockville, MD 70852 | 2006-09-28 |
| 1912913021 | Charles Clayton Cooper Jr. | Dentist | 1635 Friar Tuck Rd Ne, Atlanta, GA 30309-2611 | 2006-07-31 |
| 1679526750 | Charles L. Cooper | Psychologist | 100 Europa Dr, Suite 260, Chapel Hill, NC 27517-2357 | 2006-05-18 |
| 1205836590 | Charles L. Cooper | Radiology | 6243 Woodhaven Blvd, Rego Park, NY 11374-3731 | 2005-07-28 |
| 1578109963 | Charles Cooper | Registered Nurse | 4801 Brentwood Stair Rd Ste 404, Ft Worth, TX 76103-1731 | 2019-11-21 |
| 1790243459 | Charles W Cooper | Psychologist | 110 Mordington Avenue, Jefferson County Board of Education, Charles Town, WV 25414 | 2019-03-12 |
| Street Address |
575 LISBON ST |
| City | LISBON FALLS |
| State | ME |
| Zip Code | 04252-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801028428 | Jeffrey F Charest | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2009-08-15 |
| 1932624939 | Walgreen Co | Pharmacy | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2017-08-10 |
| 1245784891 | William Torrey Collinson | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2016-08-12 |
| 1508310871 | Tyson Fredriksen | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2016-08-04 |
| 1114215639 | Ronald William Tolini | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093144974 | Denys Lynn Robertson | Occupational Therapist | 714 Lisbon St, Lisbon Falls, ME 04252 | 2013-11-01 |
| 1912022351 | Phillip A Carter | Family Medicine | 583 Lisbon Rd., Lisbon Falls, ME 04252 | 2007-03-21 |
| 1942443056 | Ashley Michelle Wood | Massage Therapist | 16 Main St, Lisbon Falls, ME 04252 | 2009-04-20 |
| 1417028796 | Rite Aid of Maine Inc | Durable Medical Equipment & Medical Supplies | 575 Lisbon Street, Lisbon Falls, ME 04252-1114 | 2006-11-10 |
| 1528221116 | Jenna T Pulkka | Dentist | 568 Lisbon St, Suite 1, Lisbon Falls, ME 04252-1138 | 2008-07-03 |
| 1083003255 | Lisbon Family Dental Care | Dentist | 568 Lisbon St, Suite 1, Lisbon Falls, ME 04252-1138 | 2015-01-12 |
| 1568521896 | Tyson Shardlow | Chiropractor | 694 Lisbon St, Lisbon Falls, ME 04252-1230 | 2006-12-06 |
| 1730373549 | Atlas Family Chiropractic, LLC P.a. | Chiropractor | 694 Lisbon St, Lisbon Falls, ME 04252-1230 | 2007-09-05 |
| 1548574866 | Best Health Chiropractic and Wellness, PC | Chiropractor | 661 Lisbon St, Lisbon Falls, ME 04252-1245 | 2010-07-28 |
| 1184821399 | Margaret Ellen Bell | Specialist | 689 Lisbon St, Lisbon Falls, ME 04252-1249 | 2007-06-29 |
| Find all providers in zip 04252 | ||||
| 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 |
|---|---|---|---|---|
| 1801028428 | Jeffrey F Charest | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2009-08-15 |
| 1245784891 | William Torrey Collinson | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2016-08-12 |
| 1508310871 | Tyson Fredriksen | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2016-08-04 |
| 1114215639 | Ronald William Tolini | Pharmacist | 575 Lisbon St, Lisbon Falls, ME 04252-1114 | 2011-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295624 | Melissa Foss | Pharmacist | 797 Roosevelt Trl, Windham, ME 04062-5341 | 2020-11-06 |
| 1023619202 | Scott Thomas Castonguay | Pharmacist | 20 Sokokis Trl, Waterboro, ME 04087-3056 | 2020-11-04 |
| 1609483874 | Megan K Pelletier | Pharmacist | Address: 182 Market St Suite 2, Fort Kent, ME 04743 | 2020-09-30 |
| 1336709377 | Jordan Christine Anderson | Pharmacist | 183 Center St, Bangor, ME 04401-4839 | 2019-06-20 |
| 1669035804 | Vesna Kravljaca | Pharmacist | 1406 Congress St, Portland, ME 04102-2119 | 2019-04-14 |
| 1407327422 | Christopher Nordgren D'amico | Pharmacist | 93 Oak Grove Dr, Brewer, ME 04412-1200 | 2018-12-17 |
| 1831667278 | Anna Levesque | Pharmacist | 220 Us-1, Ste 1, Bucksport, ME 04416 | 2018-11-04 |
| 1164903639 | Peter Kombakis | Pharmacist | 137 Ray St, Portland, ME 04103-4320 | 2018-08-23 |
| 1124508338 | Brittany Noel Shofner | Pharmacist | 478 Us Route 1, Yarmouth, ME 04096-6735 | 2018-08-16 |
| 1336627785 | Tiffany M Bricker | Pharmacist | 165 Capitol St, Augusta, ME 04330-6232 | 2018-07-29 |
| Find all providers with the same taxonomy | ||||
| City | LISBON FALLS |
| Zip Code | 04252 |
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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.