Active NPI
Brian Knoll
- Pharmacist
- Pompano Beach, FL
National Provider Identifier
1205422110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- PS37982
- Practice address
- 2036 E Atlantic Blvd
Pompano Beach, FL 33060-6554 - Phone
- (954) 781-6876
- NPI assigned
- Dec 15, 2020
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS37982 | FL | Primary |
Addresses
Primary practice location
2036 E Atlantic Blvd
Pompano Beach, FL 33060-6554
Mailing address
1368 SW 23Rd Ave
Fort Lauderdale, FL 33312-4061
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 |
|---|---|---|---|
| PS37982 | FL | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holiday CVS L.L.C. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1205422110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1368 SW 23RD AVE",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333124061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2036 E ATLANTIC BLVD",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330606554",
"telephone_number": "954-781-6876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNOLL",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-15",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "FL",
"license": "PS37982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.