Individual provider Active NPI

Cameron Kopatz, PHARMD

  • Pharmacist
  • Steamboat Springs, CO
National Provider Identifier
1821435405
Registry record updated May 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
17055 Issued in CO
Practice address
1825 Central Park Dr.
Steamboat Springs, CO 80477
Phone
(970) 879-7317
Fax
(970) 879-5895
NPI assigned
May 23, 2013
Last updated
May 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 17055 CO Primary

Addresses

Primary practice location

1825 Central Park Dr.
Steamboat Springs, CO 80477

Mailing address

PO Box 773570
Steamboat Springs, CO 80477-3570
Phone (970) 879-7371

Other identifiers 1

IdentifierTypeStateIssuer
48-0196590OtherTAX ID

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
Doctor of Pharmacy

State licenses

LicenseStateTypeSpecialty
17055COMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Dillon Companies LLC Past Accepting new patients
Dillon Companies LLC Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369267200000",
    "number": "1821435405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 773570",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "804773570",
            "telephone_number": "970-879-7371",
            "fax_number": "970-879-5895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 CENTRAL PARK DR.",
            "city": "STEAMBOAT SPRINGS",
            "state": "CO",
            "postal_code": "80477",
            "telephone_number": "970-879-7317",
            "fax_number": "970-879-5895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPATZ",
        "first_name": "CAMERON",
        "name_prefix": "Dr.",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2013-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CO",
            "license": "17055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "48-0196590",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Steamboat Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2013; 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.