Kopp Drug Inc

Primary specialty

PharmacyTaxonomy code 333600000X

License

PP412290L Issued in PA

Legal business name

KOPP DRUG INC

Practice address

121 W Allegheny St
Kopp Drug Inc
Martinsburg, PA 16662-1103

Phone

(814) 793-2171

Fax

(814) 793-9777

NPI assigned

Aug 3, 2005

Organization subpart

No

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

Authorized official

Name

William E Earnest, RPH

Title

Coo

Phone

(814) 949-9512

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1073514865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1471",
            "address_2": "KOPP DRUG INC",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166031471",
            "telephone_number": "814-949-9512",
            "fax_number": "814-949-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 W ALLEGHENY ST",
            "address_2": "KOPP DRUG INC",
            "city": "MARTINSBURG",
            "state": "PA",
            "postal_code": "166621103",
            "telephone_number": "814-793-2171",
            "fax_number": "814-793-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPP DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-03",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "EARNEST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "814-949-9512",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP412290L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007336010019",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Drug Store - Martinsburg Inc
• Clark D Jeffries, GENERAL DENTIST
• Heather Nicole Kincaid, COTA/L
• Morgan Knisely, LPN
• Michael Joseph Koehle, OTR/L
• Douglas C Kurtz, GENERAL DENTIST
• Douglas Christopher Kurtz, D.D.S.
• Lunda E. Weaver, MD
• Janelle Marie Hoover Marino, RN
• Nicholl Lynne Marshall, CRNP, PMHNP-BC

• Pharmacy in Martinsburg, PA
• Providers in Martinsburg, PA by specialty
• Pharmacy in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.