Active NPI
Kopp Drug Inc
- Pharmacy
- Hollidaysburg, PA
National Provider Identifier
1962402404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy
- License
- PP411048-L
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1007336010011 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.