Kopp Drug Inc

Primary specialty

PharmacistTaxonomy code 183500000X

License

PP412372L Issued in PA

Legal business name

KOPP DRUG INC

Practice address

1365 Logan Ave
Tyrone, PA 16686-1638

Phone

(814) 684-5000

Fax

(814) 684-1173

NPI assigned

Aug 9, 2005

Organization subpart

No

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

Authorized official

Name

William E Earnest, RPH

Title

Coo

Phone

(814) 949-9512

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1912908310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1471",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166031471",
            "telephone_number": "814-949-9512",
            "fax_number": "814-949-9505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 LOGAN AVE",
            "city": "TYRONE",
            "state": "PA",
            "postal_code": "166861638",
            "telephone_number": "814-684-5000",
            "fax_number": "814-684-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPP DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "EARNEST",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "814-949-9512",
        "authorized_official_credential": "RPH"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pharmacist",
            "state": "PA",
            "license": "PP412372L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007336010016",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Trista Marie Lalli
• Dawn Renee Landeck, CRNP

• Pharmacist in Tyrone, PA
• Providers in Tyrone, PA by specialty
• Pharmacist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.