Active NPI
Misty Shalon Coplan, PHARMD
- Pharmacist
- Prescott, AZ
National Provider Identifier
1386374841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S026275
- Practice address
- 506 Miller Valley Rd
Prescott, AZ 86301-2314 - Phone
- (928) 442-0312
- Fax
- (928) 442-0321
- NPI assigned
- Jun 15, 2022
- Last updated
- Apr 30, 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 | S026275 | AZ | Primary |
Addresses
Primary practice location
506 Miller Valley Rd
Prescott, AZ 86301-2314
Mailing address
506 Miller Valley Rd
Prescott, AZ 86301-2314
Phone (928) 442-0312
Other names 1
- Dr. Misty Shalon Lefler
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 |
|---|---|---|---|
| S026275 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714435200000",
"number": "1386374841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 MILLER VALLEY RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012314",
"telephone_number": "928-442-0312",
"fax_number": "928-442-0321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 MILLER VALLEY RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863012314",
"telephone_number": "928-442-0312",
"fax_number": "928-442-0321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPLAN",
"first_name": "MISTY",
"middle_name": "SHALON",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-15",
"last_updated": "2024-04-30",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S026275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MISTY",
"last_name": "LEFLER",
"middle_name": "SHALON",
"prefix": "DR.",
"credential": "PHARMD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.