COPPEROPOLIS PHARMACY
NPI 1093140238
Pharmacy - Community/Retail Pharmacy in Copperopolis, CA

Q: What is Kevin S Tom's NPI number?

The NPI number for Kevin S Tom is 1093140238. It was assigned to this organization in the NPPES registry on September 6, 2013. The provider is doing business as Copperopolis Pharmacy.

Q: What is Kevin S Tom's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

Q: When was this NPI record last updated?

The NPPES record for Kevin S Tom was last updated on October 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 06, 2013

49 COSMIC CT STE C, COPPEROPOLIS, CA 95228(209) 785-8787(209) 785-8783 Get Directions Write a Review

NPPES record last updated: October 16, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Copperopolis Pharmacy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COPPEROPOLIS PHARMACY (NPI 1093140238) is a healthcare organization registered as a community/retail pharmacy in Copperopolis, California and active in the NPI registry since September 2013. The organization lists Kevin Tom, Owner/ Rph, as its authorized official.

NPPES Registry Identity

NPI1093140238

Entity TypeOrganization

Primary Taxonomy3336C0003X

Legal Business NameKEVIN S TOM

Location Address49 COSMIC CT STE CCopperopolis, CA 95228-9300

Mailing AddressPo Box 699Copperopolis, CA 95228-0699 · (209) 785-8787 · Fax (209) 785-8783

Phone(209) 785-8787

Fax(209) 785-8783

Organization SubpartNo

Authorized OfficialKevin TomOwner/ Rph · (209) 785-8787

Enumeration DateSeptember 6, 2013

Last NPPES UpdateOctober 16, 2015

✔ NPI 1093140238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacy · Community/Retail PharmacySuppliers

Taxonomy Code3336C0003X

License✔ Licensed in CA · PHY51616

Definition

A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

Also ListedPharmacyTaxonomy 333600000X

49 COSMIC CT STE C, Copperopolis, CA 95228

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Other Names 1

Doing Business AsCopperopolis Pharmacy

Other Identifiers 1

Other2141950Pk

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin S Tom's NPI number?

The NPI number for Kevin S Tom is 1093140238. It was assigned to this organization in the NPPES registry on September 6, 2013. The provider is doing business as Copperopolis Pharmacy.

Where is Kevin S Tom located?

Kevin S Tom is located at 49 Cosmic Ct Ste C, Copperopolis, CA 95228. The listed phone number is (209) 785-8787.

What is Kevin S Tom's specialty?

The primary specialty registered for this NPI is Pharmacy, specializing in Community/Retail Pharmacy, with taxonomy code 3336C0003X.

When was this NPI record last updated?

The NPPES record for Kevin S Tom was last updated on October 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.