Individual provider Active NPI

William Kupka, PHARMD

  • Pharmacist
  • Warrensville Heights, OH
National Provider Identifier
1689204547
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
03230306 Issued in OH
Practice address
4510 Richmond Rd
Warrensville Heights, OH 44128-5757
Phone
(216) 765-2886
Fax
(216) 201-8857
NPI assigned
Jan 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 03230306 OH Primary

Addresses

Primary practice location

4510 Richmond Rd
Warrensville Heights, OH 44128-5757

Mailing address

4510 Richmond Rd
Warrensville Heights, OH 44128-5757
Phone (216) 765-2886

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

LicenseStateTypeSpecialty
03230306OHMDPharmacist

Interoperability endpoints

  • Direct secure messaging: wkupka51103@ehrdirect.uhhospitals.org

NPI Registry JSON

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1689204547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 RICHMOND RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285757",
            "telephone_number": "216-765-2886",
            "fax_number": "216-201-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 RICHMOND RD",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285757",
            "telephone_number": "216-765-2886",
            "fax_number": "216-201-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPKA",
        "first_name": "WILLIAM",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "OH",
            "license": "03230306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensville Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; 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.