JESSICA KOPP (NPI# 1164805446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164805446 |
| Entity Type | Individual |
| Full Name | JESSICA KOPP |
| Practice Address |
1401 33rd St S Fargo ND 58103-3413 |
| Practice Telephone | 7012355511 |
| Practice Fax Number | 7012351985 |
| Mailing Telephone | 7012355511 |
| Mailing Fax Number | 7012351985 |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2015-07-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | RPH5776 | ND | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730250028 | Jessica Kopp | Occupational Therapist | 12450 Cloud Dr Ne, Blaine, MN 55449-6274 | 2006-11-10 |
| Street Address |
1401 33RD ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58103-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427174267 | Michele M Erickson | Optometrist | 1401 33rd St S, Fargo, ND 58103-3429 | 2007-03-22 |
| 1104356021 | Jennifer Kutz | Pharmacist | 1401 33rd St S, Fargo, ND 58103-3413 | 2017-06-13 |
| 1023427499 | Kristin Bloom | Pharmacist | 1401 33rd St S, Fargo, ND 58103-3413 | 2014-08-10 |
| 1538574298 | Johanna Christianson | Pharmacist | 1401 33rd St S, Fargo, ND 58103 | 2014-06-21 |
| 1598197394 | Cindy Lee Yeager | Pharmacist | 1401 33rd St S, Fargo, ND 58103-3413 | 2013-08-02 |
| 1053667774 | Jay Labay | Pharmacist | 1401 33rd St S, Fargo, ND 58103-3413 | 2012-07-31 |
| 1437404290 | Sara Gayle Mckay | Pharmacist | 1401 33rd St S, Fargo, ND 58103-3413 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659924843 | Amanda Hericks | Dentist | 1338 Gateway Drive S, Fargo, ND 58103 | 2019-07-17 |
| 1285298240 | Ann Louise Breen | Optometrist | Sanford Southpointe Eye Center & Optical, 2400 32nd Ave. S., Fargo, ND 58103 | 2019-04-25 |
| 1245706597 | Lisa Elaine Livingston | Counselor | 1337 14 and Half St. S., Fargo, ND 58103 | 2018-10-15 |
| 1528569662 | Misty Lynn Hagen | Counselor | 901 28th St. South, Suite B, Fargo, ND 58103 | 2018-02-23 |
| 1083133011 | Faith Homecare Professionals LLC | Home Health | 304 25th St S, Suite B, Fargo, ND 58103 | 2017-09-11 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1801338504 | Amy Nguyen Christianson | Chiropractor | 1650 45th St S Ste 113, Fargo, ND 58103 | 2016-11-11 |
| 1245772359 | Andrea Marie Hanson | Nurse Practitioner | 2400 32nd Ave South, Fargo, ND 58103 | 2016-11-07 |
| 1831647940 | Abigail Carmen Burkett Vetter | Nurse Practitioner | 2928 University Dr S Suite 101, Fargo, ND 58103 | 2016-09-18 |
| 1013361302 | Nancy Knowlton | Speech-Language Pathologist | 3001 11th Ave S, Beyond Boundaries Speech-language, Fargo, ND 58103 | 2016-04-22 |
| Find all providers in zip 58103 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440532 | Nicole Berend | Pharmacist | 4476 31st Ave S Ste 105, Fargo, ND 58104-4532 | 2019-07-31 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1578081600 | Mary Faure | Pharmacist | 2400 32nd Ave S Ste 4, Fargo, ND 58103-5800 | 2017-09-09 |
| 1982138749 | Matthew Troyer | Pharmacist | 2425 13th Ave, Fargo, ND 58103 | 2017-04-18 |
| 1528509189 | Mikhail Elias | Pharmacist | 1613 36 1/2 Ave S, Fargo, ND 58104-6101 | 2017-03-15 |
| 1326589250 | Virginia Howe | Pharmacist | 5180 Prosperity Way S Ste 106, Fargo, ND 58104-7568 | 2017-03-11 |
| 1245789072 | Hannah Surma | Pharmacist | 801 Broadway N # 204, Fargo, ND 58102-3641 | 2016-09-21 |
| 1720430564 | Tara Michelle Dammer | Pharmacist | 706 38th St N Ste A, Fargo, ND 58102-2953 | 2016-07-05 |
| 1235502220 | Alysia Honzay | Pharmacist | 234 Prairiewood Dr S, Fargo, ND 58103-4613 | 2015-11-12 |
| 1114300662 | Adam Parker Stubson | Pharmacist | 3175 25th St S Ste D, Fargo, ND 58103-6171 | 2015-07-01 |
| Find all providers in FARGO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.