Active NPI
Kyle Richard Copeland, PHARM.D., BCPS
- Pharmacist
- Knoxville, TN
National Provider Identifier
1124098801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 11693
- Practice address
- 9352 Park West Blvd
Knoxville, TN 37923-4325 - Phone
- (865) 373-1042
- Fax
- (865) 373-1041
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 11693 | TN | Primary |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 11693 | TN | |
| Pharmacotherapy Pharmacist | 1835P1200X | 3140290F | TN |
Addresses
Primary practice location
9352 Park West Blvd
Knoxville, TN 37923-4325
Mailing address
9352 Park West Blvd
Knoxville, TN 37923-4325
Phone (865) 373-1042
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3140290F | TN | MD | Pharmacotherapy Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1124098801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9352 PARK WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234325",
"telephone_number": "865-373-1042",
"fax_number": "865-373-1041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9352 PARK WEST BLVD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234325",
"telephone_number": "865-373-1042",
"fax_number": "865-373-1041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "KYLE",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "PHARM.D., BCPS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "11693",
"primary": true
},
{
"code": "1835P0018X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
"state": "TN",
"license": "11693",
"primary": false
},
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "TN",
"license": "3140290F",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.