George Copenhaver
Individual provider Active NPI Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist · Burlington, KY
NPI 1356973408 · NPPES record last updated Feb 6, 2020
Key facts
- NPI
- 1356973408
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist 1835P0018X
- License
- 018497 (KY)
- Practice address
- 1751 Patrick Dr
Burlington, KY 41005-7345 - Phone
- (859) 586-4692
- Fax
- (859) 586-2860
- NPI assigned
- Feb 6, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018497 | KY | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| 03135723 | OH | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kroger Limited Partnership I | Past |
Accepting new patients | |
| Kroger Limited Partnership I | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 03135723 | OH | |
| Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | 018497 | KY | Yes |
Addresses
Primary practice location
1751 Patrick Dr
Burlington, KY 41005-7345
Mailing address
1751 Patrick Dr
Burlington, KY 41005-7345
Phone (859) 586-4692
Other providers in Burlington, KY
- Nathan Richard Ciufo
- Commonwealth Rehabilitation & Sports Medicine PSC
- Commonwealth Rehabilitation & Sports Medicine, PSC
- Comprehensive Medical Solutions LLC
- Devon Cooper
- Holly Davis
- Dental Care of Kentucky - Dr O Craig Shanteau, DDS, PSC
- Julie Ann Doumont
- Michelle A Duncan
- Stacie Easter
All providers in Burlington, KY · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2020. 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.