Active NPI
Paul Jason Pochak, PHARM.D
- Pharmacist
- Altoona, PA
National Provider Identifier
1124342787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- RP453345
- Practice address
- 1000 Logan Blvd
Altoona, PA 16602-4028 - Phone
- (814) 949-3735
- Fax
- (814) 949-3729
- NPI assigned
- Mar 24, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6595 | MT | |
| Pharmacist | 183500000X | RP453345 | PA | Primary |
Addresses
Primary practice location
1000 Logan Blvd
Altoona, PA 16602-4028
Mailing address
1000 Logan Blvd
Altoona, PA 16602-4028
Phone (814) 949-3735
Other practice location 1
40 W Idaho St
Kalispell, MT 59901-3956
Phone (406) 257-0714
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6595 | MT | MD | Pharmacist |
| RP453345 | PA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walgreen Co | Past | Accepting new patients | |
| Walgreen Co | 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": "1269388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605744000000",
"number": "1124342787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 LOGAN BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024028",
"telephone_number": "814-949-3735",
"fax_number": "814-949-3729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 LOGAN BLVD",
"city": "ALTOONA",
"state": "PA",
"postal_code": "166024028",
"telephone_number": "814-949-3735",
"fax_number": "814-949-3729"
}
],
"practiceLocations": [
{
"address_1": "40 W Idaho St",
"address_purpose": "LOCATION",
"city": "Kalispell",
"state": "MT",
"postal_code": "599013956",
"country_code": "US",
"telephone_number": "406-257-0714",
"fax_number": "406-257-1797",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "POCHAK",
"first_name": "PAUL",
"middle_name": "JASON",
"name_prefix": "Dr.",
"credential": "PHARM.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-24",
"last_updated": "2020-11-19",
"certification_date": "2020-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "MT",
"license": "6595",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PA",
"license": "RP453345",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Altoona, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.