Individual provider Active NPI

Erik Ernest Courter

  • Pharmacy Technician
  • Newport Beach, CA
National Provider Identifier
1033484068
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pharmacy TechnicianTaxonomy code 183700000X
License
29726 Issued in CA
Practice address
4000 Birch St Ste 120
Newport Beach, CA 92660-2258
Phone
(949) 642-8057
NPI assigned
Mar 8, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy Technician 183700000X 29726 CA Primary

Addresses

Primary practice location

4000 Birch St Ste 120
Newport Beach, CA 92660-2258

Mailing address

1560 Placentia Ave SPC F6
Newport Beach, CA 92663-2825
Phone (714) 356-9274

Other identifiers 1

IdentifierTypeStateIssuer
29726OtherCAPHARMACY TECHNICIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
29726CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
California Pharmacy & Compounding Center Inc PastSince Oct 6, 2019 Accepting new patients
California Pharmacy & Compounding Center Inc Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1033484068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 PLACENTIA AVE SPC F6",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926632825",
            "telephone_number": "714-356-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BIRCH ST STE 120",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602258",
            "telephone_number": "949-642-8057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTER",
        "first_name": "ERIK",
        "middle_name": "ERNEST",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183700000X",
            "taxonomy_group": "",
            "desc": "Pharmacy Technician",
            "state": "CA",
            "license": "29726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACY TECHNICIAN",
            "identifier": "29726",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; 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.