Copharma Inc

Primary specialty

Compounding PharmacyTaxonomy code 3336C0004X

License

12480 Issued in MS

Legal business name

COPHARMA INC

Doing business as

Copharma Inc

Practice address

127 Pratt Dr
Corinth, MS 38834-6026

Phone

(662) 594-1594

Fax

(662) 594-1864

NPI assigned

Jul 10, 2013

Last updated

Jul 25, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald King

Title

Owner

Phone

(662) 594-1594

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• COPHARMA INC Doing business as

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1215378922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 PRATT DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346026",
            "telephone_number": "662-594-1594",
            "fax_number": "662-594-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 PRATT DR",
            "city": "CORINTH",
            "state": "MS",
            "postal_code": "388346026",
            "telephone_number": "662-594-1594",
            "fax_number": "662-594-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPHARMA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-10",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-594-1594"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0004X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Compounding Pharmacy",
            "state": "MS",
            "license": "12480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2141122",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COPHARMA INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Compounding Pharmacy in Corinth, MS
• Providers in Corinth, MS by specialty
• Compounding Pharmacy in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.