Gina Cristina Copak, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

77160 Issued in CA

Practice address

1200 B Gale Wilson Blvd
Fairfield, CA 94533-3552

Phone

(707) 646-5150

NPI assigned

Oct 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1760024384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 ALLISON DR APT 184",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956874988",
            "telephone_number": "951-233-0338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 B GALE WILSON BLVD",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945333552",
            "telephone_number": "707-646-5150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPAK",
        "first_name": "GINA",
        "middle_name": "CRISTINA",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "77160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77160",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gina.copak@northbay.org",
            "affiliation": "N",
            "address_1": "1200 B Gale Wilson Blvd",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945333552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keir'Ra Rhiana Cooper
• Kent Barton Cooper, DVM
• Lily-Ann Sharian Cooper
• Sherrie Cooper, RN, BSN, PHN
• Taylor Coopwood
• Katrina Copeland, MFTI
• Leslie Diane Corbett, ACSW
• Martha Ellen Corcoran, M.D.
• Derrick V Cordero
• Kari Anne Cordero

• Pharmacist in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.