Individual provider Active NPI

Perry Koffer, RPH

  • Pharmacist
  • Gladwyne, PA
National Provider Identifier
1295992287
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RP030689L Issued in PA
Practice address
352 Righters Mill Rd
Gladwyne, PA 19035-1543
Phone
(610) 649-1100
Fax
(610) 649-4850
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X RP030689L PA Primary

Addresses

Primary practice location

352 Righters Mill Rd
Gladwyne, PA 19035-1543

Mailing address

352 Righters Mill Rd
Gladwyne, PA 19035-1543
Phone (610) 649-1100

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
RP030689LPAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
KZ Enterprises LLC Current Accepting new patients

Locations

352 Righters Mill Rd
Gladwyne, PA 19035
Phone (610) 642-8740

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.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1295992287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 RIGHTERS MILL RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351543",
            "telephone_number": "610-649-1100",
            "fax_number": "610-649-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 RIGHTERS MILL RD",
            "city": "GLADWYNE",
            "state": "PA",
            "postal_code": "190351543",
            "telephone_number": "610-649-1100",
            "fax_number": "610-649-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFFER",
        "first_name": "PERRY",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "RP030689L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gladwyne, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.