Larry Dana Copus, RPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

39333 Issued in CA

Practice address

42010 Washington St
Bermuda Dunes, CA 92203-9610

Phone

(760) 772-9122

NPI assigned

Nov 28, 2011

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walgreen Co

  • Pharmacy
  • Bermuda Dunes, CA
  • NPI 1740295013
  NPD (past)
• Walgreen Co

  • Pharmacy
  • Longview, TX
  • NPI 1629956545
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1322438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322438400000",
    "number": "1033486642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79945 BOQUERON WAY",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922031411",
            "telephone_number": "760-360-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42010 WASHINGTON ST",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922039610",
            "telephone_number": "760-772-9122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPUS",
        "first_name": "LARRY",
        "middle_name": "DANA",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-28",
        "last_updated": "2011-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "39333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1740295013",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William Young Carlson, MPT
• Joshua Carrazana
• Deborah Chatfield, MPT
• Clinica del Sol Medical Group Inc
• Shelley A Cooper, PT
• Daniel O Tolhurst DDS Inc
• Paula M Defrees, PHYSICAL THERAPIST
• Rebekah Dennison, LMT
• Desert Advanced Imaging Center
• Desert Medical Group

• Pharmacist in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.