Active NPI
Curtis L Pollard, CPHT
- Pharmacy Technician
- Malibu, CA
National Provider Identifier
1164757977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 76256
- Practice address
- 23357 Pacific Coast Hwy
Malibu, CA 90265-4957 - Phone
- (310) 456-9059
- NPI assigned
- Oct 13, 2009
- Last updated
- Oct 13, 2009
- Sex
- Male
- 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 | 76256 | CA | Primary |
Addresses
Primary practice location
23357 Pacific Coast Hwy
Malibu, CA 90265-4957
Mailing address
4833 Hazeltine Ave
Suite 4
Sherman Oaks, CA 91423-2342
Phone (818) 237-5296
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76256 | Other | CA | BOARD OF PHARMACY |
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 |
|---|---|---|---|
| 76256 | CA | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Super Care Drugs 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": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1164757977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4833 HAZELTINE AVE",
"address_2": "SUITE 4",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232342",
"telephone_number": "818-237-5296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23357 PACIFIC COAST HWY",
"city": "MALIBU",
"state": "CA",
"postal_code": "902654957",
"telephone_number": "310-456-9059"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLARD",
"first_name": "CURTIS",
"middle_name": "L",
"credential": "CPHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "CA",
"license": "76256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "76256",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Malibu, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.