Individual provider Active NPI

Paul Knerr, RPH

  • Pharmacist
  • Arcadia, CA
National Provider Identifier
1134429285
Registry record updated Oct 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
25477 Issued in CA
Practice address
618 Michillinda Ave
Arcadia, CA 91007-6342
Phone
(626) 821-7726
Fax
(623) 869-1270
NPI assigned
Oct 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 25477 CA Primary

Addresses

Primary practice location

618 Michillinda Ave
Arcadia, CA 91007-6342

Mailing address

618 Michillinda Ave
Arcadia, CA 91007-6342
Phone (626) 821-7726

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
Registered Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1287705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287705600000",
    "number": "1134429285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MICHILLINDA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076342",
            "telephone_number": "626-821-7726",
            "fax_number": "623-869-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 MICHILLINDA AVE",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910076342",
            "telephone_number": "626-821-7726",
            "fax_number": "623-869-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNERR",
        "first_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-10-22",
        "last_updated": "2010-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "25477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; 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.