Anthony Mauro Coppola, RPH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

5302413160 Issued in MI

Practice address

Dynamic Care Pharmacy
4121 W. 13 Mile Road
Royal Oak, MI 48073

Phone

(248) 850-1802

Fax

(248) 850-1803

NPI assigned

Mar 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

Practice roles

Locations

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.

• Dynamic Care Pharmacy LLC

  • Community/Retail Pharmacy
  • Royal Oak, MI
  • NPI 1407123953
  NPD
• A Coppola Associates Inc

  • Community/Retail Pharmacy
  • Hopatcong, NJ
  • NPI 1962596379
  NPD (past)

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1487977922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 W 13 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736655",
            "telephone_number": "248-850-1802",
            "fax_number": "248-850-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DYNAMIC CARE PHARMACY",
            "address_2": "4121 W. 13 MILE ROAD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "48073",
            "telephone_number": "248-850-1802",
            "fax_number": "248-850-1803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "ANTHONY",
        "middle_name": "MAURO",
        "name_prefix": "Mr.",
        "credential": "RPH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-11",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI01724700",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MI",
            "license": "5302413160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mackenzie Elizabeth Cooney
• Judas Dean Cooper
• Kelly Cooper
• Sarah Cooper
• Cope Counseling
• Janelle Rehnlund Corace, MSOTRL
• Michael Thomas Coraci, PAC
• Michelle L Corazza, CRNA
• Rodney Richard Corby, MD
• Alexis Cordero, MA, CCC-SLP

• Pharmacist in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Pharmacist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.