Active NPI
Olivia Joleen-Sage Koepke, PHARMD
- Pharmacist
- Penfield, NY
National Provider Identifier
1225865843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 071938
- Practice address
- 2157 Penfield Rd
Penfield, NY 14526-1793 - Phone
- (585) 248-3060
- NPI assigned
- Sep 17, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 071938 | NY | Primary |
Addresses
Primary practice location
2157 Penfield Rd
Penfield, NY 14526-1793
Mailing address
532 Helendale Rd
Rochester, NY 14609-3116
Phone (585) 278-6474
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 |
|---|---|---|---|
| 071938 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1225865843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "532 HELENDALE RD",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146093116",
"telephone_number": "585-278-6474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2157 PENFIELD RD",
"city": "PENFIELD",
"state": "NY",
"postal_code": "145261793",
"telephone_number": "585-248-3060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOEPKE",
"first_name": "OLIVIA",
"middle_name": "JOLEEN-SAGE",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "071938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Penfield, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.