Active NPI
Lynda Pollard
- Pharmacy Technician
- Etna, CA
National Provider Identifier
1093890956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- TCH21928
- Practice address
- 511 Main Street
Etna, CA 96027 - Phone
- (530) 467-5335
- Fax
- (530) 467-5111
- NPI assigned
- Oct 26, 2006
- Last updated
- Jul 9, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | TCH21928 | CA | Primary |
Addresses
Primary practice location
511 Main Street
Etna, CA 96027
Mailing address
PO Box 209
Greenview, CA 96037-0209
Phone (530) 468-5707
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHA369010 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| TCH21928 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scott Valley Pharmacy Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1093890956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 209",
"city": "GREENVIEW",
"state": "CA",
"postal_code": "960370209",
"telephone_number": "530-468-5707",
"fax_number": "530-467-5111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 MAIN STREET",
"city": "ETNA",
"state": "CA",
"postal_code": "96027",
"telephone_number": "530-467-5335",
"fax_number": "530-467-5111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "LYNDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-26",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "TCH21928",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHA369010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Etna, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.