Active NPI
John Thomas Copeland, PHARM D
- Pharmacist
- Syracuse, NY
National Provider Identifier
1174705123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 045658-I
- Practice address
- 6040 Tarbell Rd
Syracuse, NY 13206-1314 - Phone
- (888) 843-2040
- Fax
- (888) 842-3977
- NPI assigned
- Dec 1, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 048658 | NY | |
| Pharmacist | 183500000X | 045658-I | NY | Primary |
Addresses
Primary practice location
6040 Tarbell Rd
Syracuse, NY 13206-1314
Mailing address
6040 Tarbell Rd
Syracuse, NY 13206-1314
Phone (888) 843-2040
Other practice location 1
605 Titus Ave
Rochester, NY 14617-3918
Phone (585) 544-7280
Other practice location 2
406 Butternut St
Syracuse, NY 13208-2627
Phone (315) 474-8851 ext. 2
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 |
|---|---|---|---|
| 045658-I | NY | MD | Pharmacist |
| 048658 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1174705123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6040 TARBELL RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132061314",
"telephone_number": "888-843-2040",
"fax_number": "888-842-3977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6040 TARBELL RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132061314",
"telephone_number": "888-843-2040",
"fax_number": "888-842-3977"
}
],
"practiceLocations": [
{
"address_1": "605 Titus Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146173918",
"country_code": "US",
"telephone_number": "585-544-7280",
"fax_number": "585-338-7789",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "406 Butternut St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132082627",
"country_code": "US",
"telephone_number": "315-474-8851 x2",
"fax_number": "315-479-5170",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COPELAND",
"first_name": "JOHN",
"middle_name": "THOMAS",
"name_prefix": "Dr.",
"credential": "PHARM D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-01",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "048658",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "045658-I",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.