Active NPI
Kopp Express Inc
- Pharmacist
- Altoona, PA
National Provider Identifier
1659372209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PP-414333-L
- Legal business name
- KOPP EXPRESS INC
- Practice address
- 1400 8TH Ave
Kopp Express Inc
Altoona, PA 16602-2408 - Phone
- (814) 941-2406
- Fax
- (814) 941-2408
- NPI assigned
- Aug 4, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William E Earnest, RPH
- Title
- Coo
- Phone
- (814) 949-9512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PP-414333-L | PA | Primary |
Addresses
Primary practice location
1400 8TH Ave
Kopp Express Inc
Altoona, PA 16602-2408
Mailing address
PO Box 1471
Kopp Drug Inc
Altoona, PA 16603-1471
Phone (814) 949-9512
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0012059060001 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
1400 8th Ave
Altoona, PA 16602
Phone (814) 941-2406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123113600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219795200000",
"number": "1659372209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1471",
"address_2": "KOPP DRUG INC",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166031471",
"telephone_number": "814-949-9512",
"fax_number": "814-949-9505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 8TH AVE",
"address_2": "KOPP EXPRESS INC",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166022408",
"telephone_number": "814-941-2406",
"fax_number": "814-941-2408"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KOPP EXPRESS INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-04",
"last_updated": "2008-08-27",
"status": "A",
"authorized_official_last_name": "EARNEST",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "814-949-9512",
"authorized_official_credential": "RPH"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacist",
"state": "PA",
"license": "PP-414333-L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0012059060001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.