Healthcare Provider Details

I. General information

NPI: 1962383141
Provider Name (Legal Business Name): KATHRYN COOK PHARMD, BCPPS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2025
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 CHILDRENS WAY OFC 6701
NASHVILLE TN
37232-0005
US

IV. Provider business mailing address

127 TIMBER CREST TRL
WHITE BLUFF TN
37187-2200
US

V. Phone/Fax

Practice location:
  • Phone: 228-860-8156
  • Fax:
Mailing address:
  • Phone: 228-860-8156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License Number40403
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: