Individual provider Active NPI

John N Pok, PHARM.D.

  • Pharmacist
  • Fountain Valley, CA
National Provider Identifier
1336682020
Registry record updated Nov 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
41580 Issued in CA
Practice address
17900 Newhope St
Fountain Valley, CA 92708-5422
Phone
(714) 434-0344
NPI assigned
Nov 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 41580 CA Primary

Addresses

Primary practice location

17900 Newhope St
Fountain Valley, CA 92708-5422

Mailing address

22385 Pineglen
Mission Viejo, CA 92692-4814
Phone (949) 830-4364

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

LicenseStateTypeSpecialty
41580CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1336682020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22385 PINEGLEN",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926924814",
            "telephone_number": "949-830-4364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17900 NEWHOPE ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085422",
            "telephone_number": "714-434-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POK",
        "first_name": "JOHN",
        "middle_name": "N",
        "credential": "PHARM.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "41580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; 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.