Provider Demographics
NPI:1275324212
Name:ROOKS, SOPHIE KINCAID (PHARMD)
Entity type:Individual
Prefix:DR
First Name:SOPHIE
Middle Name:KINCAID
Last Name:ROOKS
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31753 UNTRODDEN WAY
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-1627
Mailing Address - Country:US
Mailing Address - Phone:512-581-8454
Mailing Address - Fax:
Practice Address - Street 1:703 E HILDEBRAND AVE
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78212-2535
Practice Address - Country:US
Practice Address - Phone:512-581-8454
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX74347183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist