Brian Matthew Coppola, PHARMD, R.PH

Primary specialty

PharmacistTaxonomy code 183500000X

License

PH234050 Issued in MA

Practice address

27 Main St
Watertown, MA 02472-4404

Phone

(617) 926-6660

NPI assigned

Jan 14, 2021

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy, Registered Pharmacist

State licenses

Practice roles

Locations

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.

• CVS Pharmacy Inc

  • Pharmacy
  • Watertown, MA
  • NPI 1508965963
  NPD
• CVS Pharmacy Inc

  • Pharmacy
  • Stafford, TX
  • NPI 1427931351
  NPD (past)

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

{
    "created_epoch": "1610582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610582400000",
    "number": "1780273631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 NICHOLAS RD APT I",
            "city": "FRAMINGHAM",
            "state": "MA",
            "postal_code": "017013449",
            "telephone_number": "631-466-6916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 MAIN ST",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024724404",
            "telephone_number": "617-926-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPPOLA",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "credential": "PHARMD, R.PH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-14",
        "last_updated": "2021-01-14",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "MA",
            "license": "PH234050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Rehab Care, Inc
• Amy L Conwell, LICSW
• Katharine Noelle Cooney, BA
• Mary-Ellen Cooper, NP
• Rochelle Cooper, CNS
• Katherine Frances Corey, LBA, BCBA
• Nicole Correia
• Vail Cort, MSN, FNP-BC
• Elizabeth Corti, MS, CCC-SLP
• Mallory Cottam

• Pharmacist in Watertown, MA
• Providers in Watertown, MA by specialty
• Pharmacist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; 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.