Stephanie Renee Copp, PHARMD
Individual provider Active NPI Pharmacist · Tamuning, GU
NPI 1205269016 · NPPES record last updated Jun 18, 2024
Key facts
- NPI
- 1205269016
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PR12885 (ME)
- Practice address
- 548 S Marine Corps Dr
Tamuning, GU 96913-3539 - Phone
- (671) 969-7500
- Fax
- (671) 969-2800
- NPI assigned
- Aug 15, 2013
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PH0421 | GU | MD | Pharmacist |
| PR12885 | ME | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PH0421 | GU | |
| Pharmacist | 183500000X | PR12885 | ME | Yes |
Addresses
Primary practice location
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Mailing address
548 S Marine Corps Dr
Tamuning, GU 96913-3539
Phone (671) 969-7500
Other practice location 1
156 Maine St
Brunswick, ME 04011-2007
Phone (207) 729-8100 ext. 3
Other providers in Tamuning, GU
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 18, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.