Active NPI
Kegan Jordan Coplan, PHARMD
- Pharmacist
- Camp Verde, AZ
National Provider Identifier
1700553112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- S025333
- Practice address
- 522 W Finnie Flat Rd Ste a
Camp Verde, AZ 86322-7265 - Phone
- (928) 567-2274
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | S025333 | AZ | Primary |
Addresses
Primary practice location
522 W Finnie Flat Rd Ste a
Camp Verde, AZ 86322-7265
Mailing address
522 W Finnie Flat Rd Ste a
Camp Verde, AZ 86322-7265
Phone (928) 567-2274
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
| License | State | Type | Specialty |
|---|---|---|---|
| S025333 | AZ | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arizona CVS Stores LLC | Past | Accepting new patients | |
| Arizona CVS Stores LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655251200000",
"number": "1700553112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 W FINNIE FLAT RD STE A",
"city": "CAMP VERDE",
"state": "AZ",
"postal_code": "863227265",
"telephone_number": "928-567-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 W FINNIE FLAT RD STE A",
"city": "CAMP VERDE",
"state": "AZ",
"postal_code": "863227265",
"telephone_number": "928-567-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COPLAN",
"first_name": "KEGAN",
"middle_name": "JORDAN",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-24",
"last_updated": "2022-06-15",
"certification_date": "2022-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "AZ",
"license": "S025333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camp Verde, AZ
- David E Castillo, PT, MPT, AT/L
- Sonia Maria Castrita
- Central Arizona Sports and Physical Therapy, LLC (Central Arizona Sports and Physical Therapy)
- Central Arizona Therapy LLC (Central AZ Therapy)
- Charlotte Anne Chase, PHD
- Copper Canyon Family Dental
- Copper Canyon Family Health Center
- Copper Canyon Fire & Medical District
- Copper Canyon Fire and Medical Authority
- Michael Costa, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.