Matthew H Kopacki, R.PH.

Primary specialty

PharmacistTaxonomy code 183500000X

License

28RI1990300 Issued in NJ

Practice address

191 Rock Rd
Glen Rock, NJ 07452-1706

Phone

(201) 444-4190

Fax

(201) 444-2698

NPI assigned

Dec 21, 2011

Last updated

Dec 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Pharmacist

State licenses

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.

• Sowadauth, Inc.

  dba Rock Ridge Pharmacy

  • Pharmacy
  • Glen Rock, NJ
  • NPI 1710036975
  Authorized official Same address or phone

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324425600000",
    "number": "1700155769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521706",
            "telephone_number": "201-444-4190",
            "fax_number": "201-444-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521706",
            "telephone_number": "201-444-4190",
            "fax_number": "201-444-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPACKI",
        "first_name": "MATTHEW",
        "middle_name": "H",
        "name_prefix": "Mr.",
        "credential": "R.PH.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "NJ",
            "license": "28RI1990300",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH20591",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "ME",
            "license": "PR4238",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarun Narinder Kirpalani, D.M.D
• Emma Kirschner, PSYD
• Julia Kogan, SLP
• Oluwadamilola Kolade
• Jayne B Kopacki, R.PH.
• Diane M Kramer, D.C.
• Gerard T Kramer, D.C.
• Marissa R Kramer, MA, CCC-SLP
• Janet M. Krebs, CCC-SLP
• Alfreda Kulah-Samuel

• Pharmacist in Glen Rock, NJ
• Providers in Glen Rock, NJ by specialty
• Pharmacist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.