Organization Active NPI

Kopp Drug Inc

  • Pharmacy
  • Hollidaysburg, PA
National Provider Identifier
1962402404
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PP411048-L Issued in PA
Legal business name
KOPP DRUG INC
Practice address
1201 Blair St
Hollidaysburg, PA 16648-2445
Phone
(814) 696-0289
Fax
(814) 695-8241
NPI assigned
Jul 27, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PP411048-L PA Primary

Addresses

Primary practice location

1201 Blair St
Hollidaysburg, PA 16648-2445

Mailing address

PO Box 1471
Altoona, PA 16603-1471
Phone (814) 949-9512

Other identifiers 1

IdentifierTypeStateIssuer
1007336010011MedicaidPA

National Provider Directory

National Provider Directory

Locations

930 Moore St
Huntingdon, PA 16652
Phone (814) 506-8356

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1962402404",
    "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": "1201 BLAIR ST",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166482445",
            "telephone_number": "814-696-0289",
            "fax_number": "814-695-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOPP DRUG INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "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": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "PA",
            "license": "PP411048-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007336010011",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

  • 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.