Joel La'Mont Copper
Individual provider Active NPI Pharmacist · Bridgeville, DE
NPI 1922519636 · NPPES record last updated Oct 20, 2017
Key facts
- NPI
- 1922519636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- A1-0005146 (DE)
- Practice address
- 9202 Commercial Centre Dr
Bridgeville, DE 19933-3822 - Phone
- (302) 337-9785
- NPI assigned
- Oct 20, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A1-0005146 | DE | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past |
Accepting new patients | |
| Walgreen Co | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | A1-0005146 | DE | Yes |
Addresses
Primary practice location
9202 Commercial Centre Dr
Bridgeville, DE 19933-3822
Mailing address
9202 Commercial Center Dr
Bridgeville, DE 19933
Other providers in Bridgeville, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.