Guerdon Maurice Kopp, DPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

339 Issued in TN

Practice address

9213 Lee Hwy
Ooltewah, TN 37363-8828

Phone

(423) 855-8037

NPI assigned

Mar 1, 2010

Sex

Male

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

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

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267401600000",
    "number": "1760705016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9213 LEE HWY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638828",
            "telephone_number": "423-855-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9213 LEE HWY",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373638828",
            "telephone_number": "423-855-8037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "GUERDON",
        "middle_name": "MAURICE",
        "credential": "DPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "TN",
            "license": "339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Knoechel, LPC
• Cassie Marie Kokoszka, PHARMD
• Marilyn Follett Konkel, R.N., M.P.H., C.N.M.
• Kopek Chiropractic and Wellness
• Alex Brian Kopek, DC
• Sarah Janet Kyle, R.N.
• Sherilyn Lacy, PC
• Stephen Taylor Lake, MPT
• Deyonna J'Nae Lansden
• Julia Lanza, COTA

• Pharmacist in Ooltewah, TN
• Providers in Ooltewah, TN by specialty
• Pharmacist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.