Individual provider Active NPI

Barbara Sopha

  • Pharmacy Technician
  • Yale, MI
National Provider Identifier
1568839637
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
5303003227 Issued in MI
Practice address
25 S Main St
Yale, MI 48097-3317
Phone
(810) 387-4244
Fax
(840) 387-2605
NPI assigned
Aug 25, 2015
Last updated
Aug 25, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 5303003227 MI Primary

Addresses

Primary practice location

25 S Main St
Yale, MI 48097-3317

Mailing address

25 S Main St
Yale, MI 48097-3317
Phone (810) 387-4244

Other identifiers 1

IdentifierTypeStateIssuer
5303003227OtherMIPHARMACY TECHNICIAN LICENSE NUMBER

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

State licenses

LicenseStateTypeSpecialty
5303003227MIMDPharmacy Technician

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1568839637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "city": "YALE",
            "state": "MI",
            "postal_code": "480973317",
            "telephone_number": "810-387-4244",
            "fax_number": "810-387-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 S MAIN ST",
            "city": "YALE",
            "state": "MI",
            "postal_code": "480973317",
            "telephone_number": "810-387-4244",
            "fax_number": "840-387-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOPHA",
        "first_name": "BARBARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "MI",
            "license": "5303003227",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECHNICIAN LICENSE NUMBER",
            "identifier": "5303003227",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yale, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; 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.