Katherine Kotopka

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS41801 Issued in FL

Practice address

1385 Amelia PLZ
Fernandina Beach, FL 32034-1998

Phone

(904) 261-5522

NPI assigned

Nov 3, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Wal-Mart Stores East LP

  • Community/Retail Pharmacy
  • Fernandina Beach, FL
  • NPI 1851318067
  NPD (past)

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1760083240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1385 AMELIA PLZ",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341998",
            "telephone_number": "904-261-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1385 AMELIA PLZ",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320341998",
            "telephone_number": "904-261-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTOPKA",
        "first_name": "KATHERINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS41801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie A Kitson, DMD
• Michael C Knudstrup, PHARMACIST
• Diana Kornetti, PT
• Andrea Anderson Kosciulek, M.S.
• James Michael Kostrzewski, R, MR
• Gabor Kovacs, M.D.
• Erika Jean Kristensen, MSW, LCSW
• Blaine S. Kristo, MD
• Jennifer Pierce Lail, PHD
• Jenna Lynn Lamont, MSW

• Pharmacist in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.