COOKE FOOD STORE INC (NPI# 1114310224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114310224 |
| Entity Type | Organization |
| Organization Name | COOKE FOOD STORE INC |
| Other Organization Name | COOKE'S PHARMACY- OCOEE |
| Practice Address |
116 White Water Dr Ocoee TN 37361-3644 |
| Mailing Address |
Po Box 2365 Cleveland TN 37320-2365 |
| Practice Telephone | 4232160050 |
| Practice Fax Number | 4232160053 |
| Mailing Telephone | 4232160050 |
| Mailing Fax Number | 4232160053 |
| Enumeration Date | 2015-03-13 |
| Last Update Date | 2016-04-19 |
| Authorized Official Name | GINA MOSER (DIRECTOR OF PHARMACY OPERATION) |
| Authorized Official Telephone | 4234726478 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336C0003X |
Pharmacy Specialization: Community/Retail Pharmacy |
00005532 | TN | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2150719 | 01 |
| Other Name | Type Code |
|---|---|
| Cooke's Pharmacy- Ocoee | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477806065 | Cooke Food Store Inc | Pharmacy | 2010 Broomfield Rd Se, Cleveland, TN 37323-3301 | 2012-10-19 |
| 1447575782 | Cooke Food Store Inc | Pharmacy | 3400 Keith Street, Cleveland, TN 37312 | 2010-03-30 |
| 1972153708 | Cooke Food Store Inc | Pharmacy | 3400 Keith Street, Cleveland, TN 37312 | 2019-09-13 |
| Street Address |
116 WHITE WATER DR |
| City | OCOEE |
| State | TN |
| Zip Code | 37361-3644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760875686 | Thad Huff | Pharmacist | 116 White Water Dr, Ocoee, TN 37361-3644 | 2015-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740673235 | Ocoee Pharmacy, Inc | Pharmacy | 186 Creekside Dr, Ocoee, TN 37361 | 2015-03-09 |
| 1376947085 | Dora D. Trivette | Nurse Practitioner | 2020 Keith Street Nw, Suite C, Cleveland, TN 37361 | 2014-10-09 |
| 1326487752 | Bethany Randolph Hogan | Nurse Practitioner | 119 Whitewater Drive, Bradley Polk Walk In Clinic and Medical Center, Ocoee, TN 37361 | 2013-06-19 |
| 1326055591 | Preferred Oxygen LLC | Durable Medical Equipment & Medical Supplies | 134 Creekside Dr., Suite #2, Ocoee, TN 37361 | 2006-08-01 |
| 1952754707 | Samuel Randolph | Pharmacist | 186 Creekside Dr, Ocoee, TN 37361 | 2016-07-18 |
| 1174921001 | Tennessee Valley Bone and Joint, PC | Orthopaedic Surgery | 119 Whitewater Drive, Ocoee, TN 37361 | 2014-12-09 |
| 1568645091 | David D Darden | Preventive Medicine | 1680 Sand Mountain Road, Ocoee, TN 37361-0335 | 2007-12-06 |
| 1912283458 | Karen Milen | Nurse Practitioner | 400 Blackberry Ln, Ocoee, TN 37361-3456 | 2011-10-28 |
| 1770929333 | Bradley Polk Walk In Clinic | Internal Medicine | 119 White Water Dr, Ocoee, TN 37361-3645 | 2013-05-21 |
| 1316546492 | Amanda Brooke Davis | Nurse Practitioner | 119 White Water Dr, Ocoee, TN 37361-3645 | 2020-10-20 |
| Find all providers in zip 37361 | ||||
| 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 |
|---|---|---|---|---|
| 1740673235 | Ocoee Pharmacy, Inc | Pharmacy | 186 Creekside Dr, Ocoee, TN 37361 | 2015-03-09 |
| 1508296252 | Good Homes Pharmacy | Pharmacy | 8873 W Colonial Dr, Ocoee, FL 34761-6951 | 2013-11-16 |
| 1619278934 | Ijem LLC | Pharmacy | 10173 W Colonial Dr, Ocoee, FL 34761-4209 | 2010-11-03 |
| 1447354303 | Holiday Cvs LLC | Pharmacy | 1612 E Silver Star Rd, Ocoee, FL 34761-2554 | 2006-09-12 |
| 1003415019 | Adya LLC | Pharmacy | 1540 Citrus Medical Ct, Ocoee, FL 34761-4547 | 2020-10-21 |
| 1295366011 | Av International LLC | Pharmacy | 2775 Old Winter Garden Rd Ste 2775, Ocoee, FL 34761-2995 | 2020-01-30 |
| 1235631912 | Cpms Florida Pharmacy LLC | Pharmacy | 2775 Old Winter Garden Rd, Ocoee, FL 34761-2995 | 2018-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718317 | Rockvegas Enterprises Inc Dba Gateway Pharmacy | Pharmacy | 524 N Gateway Ave, Rockwood, TN 37854-2353 | 2020-10-19 |
| 1124626767 | Knoxville Rx Corp | Pharmacy | 10205 Kingston Pike Ste E, Knoxville, TN 37922-3285 | 2020-10-15 |
| 1073126181 | Off Center, LLC | Pharmacy | 910 Overton Plz, Livingston, TN 38570-1753 | 2020-08-28 |
| 1316557937 | Guardian Pharmacy of Tennessee Three, LLC | Pharmacy | 661 E Lane St Ste B, Shelbyville, TN 37160-3437 | 2020-08-07 |
| 1447860507 | Fph LLC | Pharmacy | 2200 N Central Ave, Humbolt, TN 38343 | 2020-08-04 |
| 1366069965 | Plaza Pharmacy LLC | Pharmacy | 3024 Covington Pike Ste 5, Memphis, TN 38128-5043 | 2020-06-30 |
| 1548886104 | Tumlin Rx, LLC | Pharmacy | 104 E Main Blvd, Church Hill, TN 37642-3724 | 2020-06-19 |
| 1366065278 | Life Well Pharmacy, LLC | Pharmacy | 2408 Susannah St Ste 3, Johnson City, TN 37601-1765 | 2020-05-27 |
| 1699398602 | Walgreen Co | Pharmacy | 262 Danny Thomas Pl Ste 100rx, Memphis, TN 38105-3678 | 2020-05-26 |
| 1053931881 | Jones & Joslin, Pllc | Pharmacy | 4249 Highway 411 Ste 5, Madisonville, TN 37354-1544 | 2020-04-22 |
| Find all providers with the same taxonomy | ||||
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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.