Active NPI
Cara Copeland
- Pharmacist
- Kingsport, TN
National Provider Identifier
1215435359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 39517
- Practice address
- 750 Lynn Garden Dr
Kingsport, TN 37660-5608 - Phone
- (423) 408-6162
- NPI assigned
- Jan 23, 2018
- Sex
- Female
- 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 | 39517 | TN | Primary |
| Pharmacist | 183500000X | 0202214374 | VA |
Addresses
Primary practice location
750 Lynn Garden Dr
Kingsport, TN 37660-5608
Mailing address
750 Lynn Garden Dr
Kingsport, TN 37660-5608
Phone (423) 408-6162
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39517 | TN | MD | Pharmacist |
| 0202214374 | VA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walmart Stores East LP | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Kingsport, TN
- NPI 1659757854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516665600000",
"number": "1215435359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 LYNN GARDEN DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376605608",
"telephone_number": "423-408-6162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 LYNN GARDEN DR",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376605608",
"telephone_number": "423-408-6162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPELAND",
"first_name": "CARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-23",
"last_updated": "2018-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TN",
"license": "39517",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202214374",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.