PHILLIP COOK (NPI# 1669009643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669009643 |
Entity Type | Individual |
Full Name | PHILLIP COOK |
Credential | PHARMD, BCPS |
Practice Address |
500 W 4th St Odessa TX 79761-5001 |
Mailing Address |
7444 103rd St Lubbock TX 79424-6474 |
Practice Telephone | 4326406000 |
Mailing Telephone | 3144983172 |
Enumeration Date | 2020-03-27 |
Last Update Date | 2020-03-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1835P1200X |
Pharmacist Specialization: Pharmacotherapy |
63005 | TX | Pharmacy Service Providers |
Y | 1835C0205X |
Pharmacist Specialization: Critical Care |
63005 | TX | Pharmacy Service Providers |
N | 1835P0200X |
Pharmacist Specialization: Pediatrics |
63005 | TX | Pharmacy Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | TX PHARMACY LICENSE NO. | 63005 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
4000 24th St, Lubbock, TX 794101894 | 8067250000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386041895 | Phillip Cook | Nurse Practitioner | 7091 E Speedway Blvd, Tucson, AZ 85710-1241 | 2014-11-26 |
1609145267 | Phillip Scott Cook | Physical Therapist | 24400 Highpoint Rd, Suite 10, Beachwood, OH 44122-6054 | 2011-12-27 |
1346308046 | Phillip Lane Cook | Optometrist | 4520 S Harvard Ave, Suite 150, Tulsa, OK 74135-2925 | 2006-12-05 |
1982778387 | Phillip Allen Cook | Dentist | 8400 Osuna Rd Ne, Suite 1c, Albuquerque, NM 87111-2087 | 2006-11-17 |
1912080532 | Phillip Milton Cook Jr. | Dentist | 309 Main St, Smithfield, VA 23430-1326 | 2006-10-24 |
Street Address |
500 W 4TH ST |
City | ODESSA |
State | TX |
Zip Code | 79761-5001 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033113808 | Bruce Carl Becker II | Family Medicine | 500 W 4th St, Odessa, TX 79761-5001 | 2005-06-09 |
1033724000 | Hannah Brooke Lineberry | Pharmacist | 500 W 4th St, Odessa, TX 79761-5059 | 2020-09-15 |
1376164673 | Kayal Kanni Dhevi Chandramohan | Dietitian, Registered | 500 W 4th St, Odessa, TX 79761-5001 | 2020-04-28 |
1609406560 | Alan Robinson | Nurse Anesthetist, Certified Registered | 500 W 4th St, Odessa, TX 79761-5001 | 2020-01-20 |
1447899679 | Olivia Ortiz | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2020-01-06 |
1780227280 | Chasity Ann Young | Physician Assistant | 500 W 4th St, Odessa, TX 79761-5001 | 2019-10-28 |
1720639776 | Candy Bowen | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2019-09-21 |
1548826100 | Lakshmi Praveena Alahari | Student in an Organized Health Care Education/Training Program | 500 W 4th St, Odessa, TX 79761-5001 | 2019-05-18 |
1215498944 | Christi Michelle Tucker | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2019-03-26 |
1821556911 | Irma Mayra Gutierrez | Nurse Practitioner | 500 W 4th St, Odessa, TX 79761-5001 | 2019-03-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407482003 | Endovascular Lab Pllc | Surgery | 612 N Washington Avenue, Suite 100, Odessa, TX 79761 | 2020-03-16 |
1235627605 | Megan Elizabeth Lemond | Pediatrics | 912 E 5th St, Odessa, TX 79761 | 2018-05-01 |
1922522630 | Brian W Griffin | Nurse Practitioner | 4606 Fountain Ln., Odessa, TX 79761 | 2017-08-03 |
1023540507 | Florenda De Guzman | Nurse Practitioner | 405 N Tom Green, Odessa, TX 79761 | 2017-04-03 |
1205378239 | Scotty R Ortega Md | Clinical Nurse Specialist | 2487 E 11th Street, Odessa, TX 79761 | 2016-11-08 |
1487094355 | Marivel Perez | Nurse Practitioner | 540 W 5th St Ste 350, Ste. 350, Odessa, TX 79761 | 2013-06-25 |
1245579804 | Accurate Health Care LLC | Home Health | 302 Industrial Ave, Odessa, TX 79761 | 2013-02-01 |
1437421666 | Mary Magdalene Garcia | Speech-Language Pathologist | 620 N. Alleghaney, Odessa, TX 79761 | 2012-02-03 |
1841576378 | Ashley Burdex | Family Medicine | 6030 W University, Odessa, TX 79761 | 2011-10-28 |
1730465428 | Therese A Archer | Massage Therapist | 712 N. Texas Ave, Odessa, TX 79761 | 2011-10-26 |
Find all providers in zip 79761 |
Taxonomy Code | 1835C0205X |
Grouping | Pharmacy Service Providers |
Classification | Pharmacist |
Specialization | Critical Care |
A licensed pharmacist who has demonstrated specialized knowledge and skill in the delivery of patient care services by pharmacists, as integral members of interprofessional teams, working to ensure the safe and effective use of medications in critically ill patients. |
Notes: Source: Board of Pharmacy Specialties, www.bpsweb.org [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487252110 | Jacob Gomez | Pharmacist | 9428 Dyer St, El Paso, TX 79924-6408 | 2020-10-14 |
1538778931 | Caroline Elizabeth Conner | Pharmacist | 3551 Roger Brooke Dr, Jbsa Ft Sam Houston, TX 78234-4504 | 2020-07-31 |
1629698030 | Diane Dreucean | Pharmacist | 6565 Fannin St, Houston, TX 77030-2703 | 2020-04-26 |
1447870209 | Annette Delovino Lista | Pharmacist | 6565 Fannin St, Houston, TX 77030-2703 | 2020-04-22 |
1659907517 | Marian Gaviola | Pharmacist | 3500 Camp Bowie Blvd, Fort Worth, TX 76107-2644 | 2020-03-22 |
1114573870 | Christina Tran | Pharmacist | 1441 N Beckley Ave, Dallas, TX 75203-1201 | 2019-08-16 |
1003349747 | Moses Musoke | Pharmacist | 36065 Santa Fe Ave, Fort Hood, TX 76544-5060 | 2017-04-10 |
1528516523 | Kaitlin Ann Pruskowski | Pharmacist | 3698 Chambers Pass, Jbsa Ft Sam Houston, TX 78234-7766 | 2016-09-19 |
1770039596 | Heidi Michaels | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2016-08-31 |
1861948689 | Olga Shvarts | Pharmacist | 4500 S Lancaster Rd, Dallas, TX 75216-7167 | 2016-08-31 |
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.