Individual provider Active NPI

Ronnie E Opolka Sr., RPH

  • Pharmacist
  • Guntersville, AL
National Provider Identifier
1811047558
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
7068 Issued in AL
Practice address
1445 Gunter Ave
Guntersville, AL 35976-1845
Phone
(256) 505-0310
Fax
(256) 582-6573
NPI assigned
Jan 12, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 7068 AL Primary

Addresses

Primary practice location

1445 Gunter Ave
Guntersville, AL 35976-1845

Mailing address

701 Hill Ave
Guntersville, AL 35976-1309
Phone (256) 582-0410

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
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
7068ALMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811047558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HILL AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761309",
            "telephone_number": "256-582-0410",
            "fax_number": "256-582-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 GUNTER AVE",
            "city": "GUNTERSVILLE",
            "state": "AL",
            "postal_code": "359761845",
            "telephone_number": "256-505-0310",
            "fax_number": "256-582-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPOLKA",
        "first_name": "RONNIE",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "AL",
            "license": "7068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guntersville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.