Kopp Drug 58TH St. Inc.

Primary specialty

PharmacistTaxonomy code 183500000X

License

PP-481119 Issued in PA

Legal business name

KOPP DRUG 58TH ST. INC.

Practice address

5800 6TH Ave
Altoona, PA 16602-1113

Phone

(814) 949-3988

Fax

(814) 949-0906

NPI assigned

Aug 2, 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 Barnest, 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": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265846400000",
    "number": "1952302960",
    "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": "5800 6TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021113",
            "telephone_number": "814-949-3988",
            "fax_number": "814-949-0906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPP DRUG 58TH ST. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2010-02-11",
        "status": "A",
        "authorized_official_last_name": "BARNEST",
        "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": "PP-481119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019059780002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Koehle
• Tiffany L Koelle, CRNA
• Folake J Kofo-Idowu, M.D
• Jennifer Kohan, MOTR/L
• Judy Konchan
• Kopp Drug Inc
• Kopp Drug Inc.
• Kopp Express Inc
• Kopp Pharmacy
• Amanda Brittany Kopriva

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2010; 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.