OrganizationActive
Kevin S Tom
NPI 1093140238 · Community/Retail Pharmacy · Copperopolis, CA
Kevin S Tom is a Community/Retail Pharmacy organization in Copperopolis, CA (NPI 1093140238).
Provider details
- NPI number
- 1093140238
- Entity type
- Organization
- Primary specialty
- Community/Retail PharmacySuppliers
- Organization subpart
- No
- Authorized official
- Kevin Tom, Owner/ Rph(209) 785-8787
Specialties & taxonomies
Suppliers
- Pharmacy333600000X
Suppliers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
49 Cosmic Ct Ste C
Copperopolis, CA 95228-9300
Phone: (209) 785-8787
Fax: (209) 785-8783
Street-level locationGet directions
Mailing address
Po Box 699
Copperopolis, CA 95228-0699
Other names (DBA / former)
- Doing business as
- Copperopolis Pharmacy
Registry dates
- Enumerated
- 2013-09-06
- Last updated
- 2015-10-16
Frequently asked questions
- What is Kevin S Tom's NPI number?
- Kevin S Tom's National Provider Identifier (NPI) is 1093140238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kevin S Tom?
- Kevin S Tom is classified in the NPPES registry as Community/Retail Pharmacy (Suppliers).
- Where is Kevin S Tom located?
- Kevin S Tom's practice location on file with NPPES is 49 Cosmic Ct Ste C, Copperopolis, CA 95228-9300.
- What is Kevin S Tom's phone number?
- The practice phone number listed in the NPPES registry for Kevin S Tom is (209) 785-8787.
- Who is the authorized official for Kevin S Tom?
- The authorized official listed on Kevin S Tom's NPPES record is Kevin Tom, Owner/ Rph. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kevin S Tom's NPI active?
- Yes — Kevin S Tom's NPI (1093140238) is active in the NPPES registry as of the last update on 2015-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.