COOPER DRUG INC.
NPI 1104919943
Pharmacy - Community/Retail Pharmacy in Augusta, KS

Active since October 02, 2006CLIA 17D2026252 · Waiver
509 STATE ST, AUGUSTA, KS 67010(316) 775-2289(316) 775-2280 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cooper Drug Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COOPER DRUG INC. (NPI 1104919943) is a healthcare organization registered as a community/retail pharmacy in Augusta, Kansas and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 20, 2028 and lists Brett Kappelmann, Owner, as its authorized official.

NPPES Registry Identity

NPI1104919943
Entity TypeOrganization
Primary Taxonomy3336C0003X
Legal Business NameCOOPER DRUG INC.
Location Address509 STATE STAugusta, KS 67010-1107
Mailing Address509 State StAugusta, KS 67010-1107 · (316) 775-2289 · Fax (316) 775-2280
Fax(316) 775-2280
Organization SubpartNo
Authorized OfficialBrett KappelmannOwner · (316) 775-2289
Enumeration DateOctober 2, 2006
Last NPPES UpdateOctober 29, 2020
NPPES CertifiedOctober 29, 2020
NPI 1104919943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers
Taxonomy Code3336C0003X
License Licensed in KS · PS005254
Definition
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.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X · License 202834 (KS)
509 STATE ST, Augusta, KS 67010

Other Identifiers 1

Other1004344000BKS · Medicaid Dme

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 17D2026252

Cooper Drug, Inc · Augusta, KS
Active · expires Apr 20, 2028
CLIA Number17D2026252
Laboratory TypePharmacy
Certificate Effective DateApril 21, 2026
Certificate Expiration DateApril 20, 2028
Laboratory DirectorJacob Hadley
Laboratory Phone(316) 775-2289
Laboratory LocationCooper Drug, Inc509 State Street, Augusta, KS 67010
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
152 services152 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
147 services147 patients
Administration of pneumococcal, influenza, hepatitis b, and/or covid-19 vaccine inside a patient's home; reported only once per individual home per date of service when such vaccine administration(s) are performed at the patient's home M0201
The Covid-19 vaccine can be administered at your home for convenience and safety. This service is reported once per home, per date, when only the vaccine is given. It's a straightforward process where a medical professional visits your home to give the vaccine.
34 services34 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
18 services18 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
16 services16 patients

Medical Equipment Supplier Medicare DMEPOS 18

Medicare supplier enrollment and the product categories Cooper Drug Inc carries, from the Medicare DMEPOS supplier directory.

Cooper Drug Inc

DMEPOS supplier · Augusta, KS

Does not accept Medicare assignment

Cooper Drug Inc has not agreed to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients may be charged more than the Medicare-approved amount; confirm the expected cost with the supplier before ordering.

PTAN (Medicare Supplier Number)20589545
Medicare Participant SinceJanuary 7, 2004
Supplier Location509 State StAugusta, KS 67010
Supplier Specialties
Pharmacy

Medicare Product Categories

Immunosuppressive Drugs
Immunosuppressive drugs require dosage, frequency, and route of administration to prevent or treat the rejection of an organ transplant
Nebulizer Drugs
Albuterol, levalbuterol, and metaproterenol are all short-acting bronchodilators with beta-adrenergic stimulatory effect
Oral Anticancer Drugs
FDA anticancer drugs
Oral Antiemetic Drugs
FDA antiemetic drugs
Commodes, Urinals, Bedpans
Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
Blood Glucose Monitors/Supplies (Non-Mail Order)
Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
509 STATE ST
AUGUSTA, KS 67010
Pharmacy Technician
509 STATE ST
AUGUSTA, KS 67010
Pharmacist
509 STATE ST
AUGUSTA, KS 67010
Pharmacist
509 STATE ST
AUGUSTA, KS 67010
Pharmacist
509 STATE ST
AUGUSTA, KS 67010
Pharmacist
509 STATE ST
AUGUSTA, KS 67010
Pharmacist
509 STATE ST
AUGUSTA, KS 67010

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cooper Drug Inc.'s NPI number?

The NPI number for Cooper Drug Inc. is 1104919943. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Cooper Drug Inc. located?

Cooper Drug Inc. is located at 509 State St, Augusta, KS 67010. The listed phone number is (316) 775-2289.

What is Cooper Drug Inc.'s specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Does Cooper Drug Inc. accept Medicare assignment for medical equipment?

No. As a Medicare medical equipment supplier, Cooper Drug Inc does not accept Medicare assignment for equipment and supplies, so patients may be charged more than the Medicare-approved amount. Confirm the expected cost with the supplier before ordering.

Does Cooper Drug Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 17D2026252) is associated with this NPI, valid through April 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cooper Drug Inc. accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 32 other insurers list Cooper Drug Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cooper Drug Inc. was last updated on October 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.